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General NPI Number Information
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NPI Number | 1548194343
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTERS OF GREATER DAYTON
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 200 DOVER ST
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City | DAYTON
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State | OH
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Zip | 45410-1925
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Country | US
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Telephone | 937-461-6869
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932293
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City | CLEVELAND
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State | OH
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Zip | 44193-2293
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Country | US
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Telephone | 937-586-9733
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Fax |
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Authorized Official
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Title or Position | SENIOR BILLING SPECIALIST
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Name | DANA BALLOU
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Credential |
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Telephone | 937-586-9733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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