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General NPI Number Information
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NPI Number | 1609998293
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Entity Type | Organization
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Legal Business Name | ASTHMA AND EMPHYSEMA CENTER INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 425 W GRAND AVE SUITE 3004
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City | DAYTON
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State | OH
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Zip | 45405-4775
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Country | US
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Telephone | 937-222-9053
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Fax | 937-222-9054
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Provider Business Mailing Address
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Address Line | 425 W GRAND AVE SUITE 3004
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City | DAYTON
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State | OH
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Zip | 45405-4775
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Country | US
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Telephone | 937-222-9053
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Fax | 937-222-9054
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A. CAIN
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Credential | D.O.
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Telephone | 937-222-9053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 005200
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License Number State | OH
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