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General NPI Number Information
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NPI Number | 1356312565
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Entity Type | Individual
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Provider Name | KENNETH P POHL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 5692 FAR HILLS AVE SUITE 4
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City | DAYTON
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State | OH
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Zip | 45429-2239
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Country | US
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Telephone | 937-433-2054
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Fax | 937-433-1069
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Provider Business Mailing Address
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Address Line | 1 PRESTIGE PL SUITE 550
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City | MIAMISBURG
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State | OH
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Zip | 45342-3794
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Country | US
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Telephone | 937-762-1305
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Fax | 937-522-7513
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35-03-2228P
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License Number State | OH
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