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General NPI Number Information
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NPI Number | 1144668096
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Entity Type | Organization
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Legal Business Name | HEALTHFORCE OF DAYTON, INC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 260 16TH AVE SUITE 120
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City | DAYTON
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State | TN
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Zip | 37321-1071
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Country | US
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Telephone | 423-499-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 260 16TH AVE SUITE 120
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City | DAYTON
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State | TN
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Zip | 37321-1071
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Country | US
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Telephone | 423-499-5655
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARWAN MOUGHRABI
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Credential | NP-C
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Telephone | 423-240-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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