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General NPI Number Information
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NPI Number | 1881092096
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Entity Type | Organization
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Legal Business Name | PATRICK MEZU MD LLC
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 2400 MIAMI VALLEY DR
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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 | 937-660-6907
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Fax | 937-350-6477
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Provider Business Mailing Address
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Address Line | PO BOX 750084
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City | DAYTON
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State | OH
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Zip | 45475-0084
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Country | US
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Telephone | 937-238-9167
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Fax | 937-350-6477
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Authorized Official
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Title or Position | OWNER, AUTHORIZED SIGNER
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Name | DR. PATRICK U MEZU
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Credential | MD
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Telephone | 937-238-9167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35076704
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35076704
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License Number State | OH
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