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General NPI Number Information
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NPI Number | 1306823638
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Entity Type | Organization
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Legal Business Name | USD DAYTON, INC.
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 113 W NATIONAL RD
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City | VANDALIA
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State | OH
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Zip | 45377-1934
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Country | US
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Telephone | 937-898-9729
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Fax | 937-898-5615
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Provider Business Mailing Address
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Address Line | PO BOX 292921
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City | TAMPA
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State | FL
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Zip | 33687-2921
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Country | US
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Telephone | 813-675-2498
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Fax | 813-971-0818
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | GARY WRIGHT
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Credential |
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Telephone | 813-675-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 0409IC
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License Number State | OH
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