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General NPI Number Information
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NPI Number | 1760764849
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Entity Type | Organization
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Legal Business Name | BEAVERCREEK MEDICAL CENTER
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 3535 PENTAGON BLVD
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City | BEAVERCREEK
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State | OH
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Zip | 45431-1705
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Country | US
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Telephone | 937-702-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 933323
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City | CLEVELAND
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State | OH
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Zip | 44193-0037
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Country | US
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Telephone | 937-298-3399
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Fax |
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Authorized Official
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Title or Position | KETTERING HEALTH CFO
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Name | TIMOTHY KO
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Credential |
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Telephone | 937-395-8522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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