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General NPI Number Information
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NPI Number | 1619966231
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Entity Type | Organization
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Legal Business Name | DAYTON REHABILITATION INSTITUTE, LLC
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 1 ELIZABETH PL
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City | DAYTON
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State | OH
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Zip | 45408-1445
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Country | US
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Telephone | 937-424-8200
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Fax | 937-424-8250
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Provider Business Mailing Address
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Address Line | 1 ELIZABETH PL
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City | DAYTON
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State | OH
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Zip | 45408-1445
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Country | US
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Telephone | 937-424-8200
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Fax | 937-424-8250
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CRISTINA HUERTA
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Credential |
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Telephone | 937-424-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | HOSPITAL # 1461
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License Number State | OH
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