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General NPI Number Information
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NPI Number | 1558484709
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Entity Type | Organization
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Legal Business Name | J W DEVERS & SON INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 N BROADWAY ST
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City | TROTWOOD
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State | OH
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Zip | 45426-3501
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Country | US
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Telephone | 937-854-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 5 N BROADWAY ST
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City | TROTWOOD
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State | OH
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Zip | 45426-3501
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Country | US
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Telephone | 937-854-3040
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Fax |
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Authorized Official
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Title or Position | VP
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Name | MR. STEVE WOLF
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Credential |
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Telephone | 937-854-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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