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General NPI Number Information
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NPI Number | 1497011050
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Entity Type | Organization
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Legal Business Name | MIAMI VALLEY HOSPITAL
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 1 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409-2722
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Country | US
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Telephone | 937-208-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409-2722
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MS. BOBBI GERHART
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Credential | RN
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Telephone | 937-208-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 295569
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License Number State | OH
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