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General NPI Number Information
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NPI Number | 1295920601
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Entity Type | Organization
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Legal Business Name | KETTERING MEDICAL CENTER - SYCAMORE HOSPITAL
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 252 LAUREL GLEN DR
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City | SPRINGBORO
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State | OH
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Zip | 45066-8142
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Country | US
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Telephone | 937-886-9197
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 LEITER RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-3660
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | SHERYL GEIGER
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Credential |
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Telephone | 937-384-8761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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