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General NPI Number Information
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NPI Number | 1538396270
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Entity Type | Organization
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Legal Business Name | DAYTON BEHAVIORAL CARE, LLC
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Dates
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Enumeration Date | 06/21/2009
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 1 ELIZABETH PL SUITE 2C
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-281-0900
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Fax | 937-938-9751
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Provider Business Mailing Address
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Address Line | 1 ELIZABETH PL SUITE 2C
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-281-0900
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Fax | 937-938-9751
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTINA MARIE DUENO
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Credential | PMHNP
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Telephone | 937-281-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-42602
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License Number State | OH
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