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General NPI Number Information
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NPI Number | 1851078562
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Entity Type | Organization
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Legal Business Name | SUMMER DAWN WELLNESS INC.
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 07/04/2023
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Provider Practice Location Address
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Address Line | 7243 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45230-4125
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Country | US
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Telephone | 513-624-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 5280 DEER PATH
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City | MILFORD
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State | OH
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Zip | 45150-9418
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Country | US
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Telephone | 513-802-2555
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MR. DAVID LINGER
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Credential |
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Telephone | 513-624-3125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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