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General NPI Number Information
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NPI Number | 1861630345
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Entity Type | Organization
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Legal Business Name | DIALYSIS CENTERS OF DAYTON LLC
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 03/26/2009
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Provider Practice Location Address
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Address Line | 1431 BUSINESS CENTER CT HOME HEMODIALYSIS
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City | DAYTON
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State | OH
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Zip | 45410-3300
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Country | US
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Telephone | 937-254-0083
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Fax | 937-254-9312
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Provider Business Mailing Address
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Address Line | 1431 BUSINESS CENTER CT HOME HEMODIALYSIS
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City | DAYTON
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State | OH
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Zip | 45410-3300
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Country | US
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Telephone | 937-254-0083
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Fax | 937-254-9312
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Authorized Official
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Title or Position | DIRECTOR, CLINICAL OPERATIONS
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Name | THERESE ELIZABETH SLYBY
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Credential | RN, MS
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Telephone | 937-208-9865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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