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General NPI Number Information
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NPI Number | 1750665295
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Entity Type | Organization
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Legal Business Name | AINA MEDICAL INC.
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 154 ELLIOTT AVE
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City | PEEBLES
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State | OH
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Zip | 45660-1028
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Country | US
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Telephone | 937-587-2618
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Fax | 937-587-2288
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Provider Business Mailing Address
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Address Line | 154 ELLIOTT AVE
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City | PEEBLES
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State | OH
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Zip | 45660-1028
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Country | US
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Telephone | 937-587-2618
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Fax | 937-587-2288
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DANA RAHELLE NATH
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Credential |
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Telephone | 937-587-2618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35063874
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License Number State | OH
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