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General NPI Number Information
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NPI Number | 1871772772
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Entity Type | Organization
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Legal Business Name | DAYTON CARDIOLOGY CONSULTANTS INC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 5735 MEEKER RD
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City | GREENVILLE
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State | OH
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Zip | 45331-1180
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Country | US
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Telephone | 937-223-3053
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Fax | 937-853-0166
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Provider Business Mailing Address
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Address Line | 1126 S MAIN ST
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City | DAYTON
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State | OH
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Zip | 45409-2616
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Country | US
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Telephone | 937-223-3053
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Fax | 937-853-0166
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Authorized Official
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Title or Position | SCHEDULING MANAGER
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Name | MRS. KATHY NAYLOR
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Credential |
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Telephone | 937-223-3053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | OH
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