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General NPI Number Information
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NPI Number | 1407377500
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Entity Type | Organization
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Legal Business Name | DAYTON CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1873
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Country | US
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Telephone | 937-641-3000
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Fax | 937-641-3326
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Provider Business Mailing Address
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Address Line | 1 CHILDRENS PLZ
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City | DAYTON
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State | OH
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Zip | 45404-1873
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Country | US
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Telephone | 937-641-3000
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Fax | 937-641-5403
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Authorized Official
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Title or Position | C.F.O.
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Name | CHRIS BERGMAN
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Credential |
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Telephone | 937-641-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | OH
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