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General NPI Number Information
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NPI Number | 1851603799
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Entity Type | Organization
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Legal Business Name | OHIO WOUND AND HYPERBARIC CENTER, LLC
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 2400 MIAMI VALLEY DR STE 220 MIAMI VALLEY HOSPITAL
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City | CENTERVILLE
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State | OH
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Zip | 45459-4774
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Country | US
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Telephone | 937-305-3254
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 MIAMI VALLEY DR STE 220 MIAMI VALLEY HOSPITAL
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City | CENTERVILLE
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State | OH
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Zip | 45459-4774
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER, LLC
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Name | DR. DARIN J PANGALANGAN
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Credential | MD
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Telephone | 937-438-4977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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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 | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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