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General NPI Number Information
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NPI Number | 1538081674
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Entity Type | Organization
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Legal Business Name | MERION SQUARE ROAD MEDICAL PC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 31 S MAIN ST STE 435
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City | DAYTON
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State | OH
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Zip | 45402-2070
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Country | US
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Telephone | 646-598-8338
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Fax | 866-301-4910
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Provider Business Mailing Address
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Address Line | 31 S MAIN ST STE 435
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City | DAYTON
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State | OH
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Zip | 45402-2070
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Country | US
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Telephone | 646-598-8338
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Fax | 866-301-4910
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | RONALD DIXON
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Credential | MD
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Telephone | 617-312-6914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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