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General NPI Number Information
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NPI Number | 1447511175
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Entity Type | Organization
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Legal Business Name | DAY-MONT BEHAVIORAL HEALTH CARE, INC.
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 1520 GERMANTOWN ST
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City | DAYTON
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State | OH
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Zip | 45417-3318
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Country | US
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Telephone | 934-722-2811
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Fax | 937-222-3019
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Provider Business Mailing Address
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Address Line | 1520 GERMANTOWN ST
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City | DAYTON
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State | OH
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Zip | 45417-3318
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Country | US
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Telephone | 934-722-2811
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Fax | 937-222-3019
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. GAYLE A. JOHNSON
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Credential |
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Telephone | 937-222-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1399, 7152, 12471
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License Number State | OH
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