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General NPI Number Information
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NPI Number | 1861504599
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Entity Type | Organization
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Legal Business Name | DHO-RONALD STANICH DDS INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 123 S. SECOND STREET
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City | LOVELAND
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State | OH
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Zip | 45140-0097
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Country | US
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Telephone | 513-774-8152
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Fax | 513-774-8154
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | LOVELAND
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State | OH
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Zip | 45140-0097
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Country | US
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Telephone | 513-774-8152
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Fax | 513-774-8154
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Authorized Official
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Title or Position | MANAGER
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Name | MR. TIMOTHY J HOLLAND
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Credential |
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Telephone | 513-774-8152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30015519
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License Number State | OH
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