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General NPI Number Information
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NPI Number | 1538192331
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC INSTITUTE OF DAYTON INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 3205 WOODMAN DR
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City | DAYTON
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State | OH
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Zip | 45420-1143
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Country | US
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Telephone | 937-298-4417
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Fax | 937-298-8260
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Provider Business Mailing Address
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Address Line | 3205 WOODMAN DR
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City | DAYTON
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State | OH
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Zip | 45420-1143
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Country | US
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Telephone | 937-298-4417
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Fax | 937-298-8260
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PAM HOUGH
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Credential |
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Telephone | 937-531-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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