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General NPI Number Information
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NPI Number | 1467786152
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Entity Type | Organization
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Legal Business Name | UB-FIT, LLC
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 4999 BRANDT PIKE
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City | DAYTON
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State | OH
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Zip | 45424-6000
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Country | US
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Telephone | 937-236-6689
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Fax | 937-236-1669
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Provider Business Mailing Address
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Address Line | 4999 BRANDT PIKE
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City | DAYTON
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State | OH
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Zip | 45424-6000
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Country | US
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Telephone | 937-236-6689
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Fax | 937-236-1669
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Authorized Official
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Title or Position | OWNER
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Name | CINDY GUIRINO
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Credential | RD LD CDE
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Telephone | 937-236-6689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | LD 5370
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License Number State | OH
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