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General NPI Number Information
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NPI Number | 1457713521
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITIAN HOSPITAL
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 2222 PHILADELPHIA DR
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City | DAYTON
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State | OH
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Zip | 45406-1813
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Country | US
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Telephone | 937-499-9845
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Fax | 937-499-9567
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Provider Business Mailing Address
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Address Line | 2222 PHILADELPHIA DR
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City | DAYTON
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State | OH
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Zip | 45406-1813
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Country | US
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Telephone | 937-499-9845
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Fax | 937-499-9567
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. SHEILA PAESLER
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Credential |
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Telephone | 937-499-5543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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