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General NPI Number Information
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NPI Number | 1326189499
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Entity Type | Organization
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Legal Business Name | KUNESH EYE SURGERY CENTER
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 2601 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45419-1634
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Country | US
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Telephone | 937-298-1093
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Fax | 937-298-6344
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Provider Business Mailing Address
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Address Line | 2601 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45419-1634
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Country | US
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Telephone | 937-298-1093
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Fax | 937-298-6344
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MICHAEL T KUNESH
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Credential | M.D.
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Telephone | 937-298-1093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 106
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License Number State | OH
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