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General NPI Number Information
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NPI Number | 1578834461
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Entity Type | Organization
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Legal Business Name | MIAMI VALLEY TUTORING SERVICES, LTD.
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 919 S CENTRAL AVE
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City | FAIRBORN
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State | OH
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Zip | 45324-3804
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Country | US
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Telephone | 937-878-4614
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Fax |
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Provider Business Mailing Address
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Address Line | 919 S CENTRAL AVE
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City | FAIRBORN
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State | OH
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Zip | 45324-3804
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Country | US
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Telephone | 937-878-4614
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELINDA A. POIST
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Credential |
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Telephone | 937-878-4614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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