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General NPI Number Information
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NPI Number | 1407896061
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Entity Type | Individual
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Provider Name | RONALD L MCGILTON MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 9000 N MAIN ST SUITE 300
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City | DAYTON
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State | OH
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Zip | 45415-1180
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Country | US
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Telephone | 937-832-1500
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Fax | 937-832-0662
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Provider Business Mailing Address
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Address Line | 9000 N MAIN ST SUITE 300
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City | DAYTON
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State | OH
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Zip | 45415-1180
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Country | US
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Telephone | 937-832-1500
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Fax | 937-832-0662
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35076914M
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License Number State | OH
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