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General NPI Number Information
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NPI Number | 1366157786
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Entity Type | Organization
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Legal Business Name | BDD OF OHIO, ARIC KUEHNER, INC.
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 510 E MCPHERSON HWY
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City | CLYDE
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State | OH
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Zip | 43410-1243
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Country | US
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Telephone | 419-547-6272
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8247
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City | CAROL STREAM
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State | IL
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Zip | 60197-8247
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Country | US
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Telephone | 727-776-9642
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | STEPHANIE MOORE
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Credential |
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Telephone | 832-704-4262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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