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General NPI Number Information
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NPI Number | 1881727626
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Entity Type | Organization
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Legal Business Name | EAR NOSE AND THROAT ASSOCIATES OF GREATER DAYTON LLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 255 N MAIN STREET
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-435-6667
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Fax | 937-435-6666
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Provider Business Mailing Address
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Address Line | 255 N MAIN STREET
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-435-6667
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Fax | 937-853-0420
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | WILLIAM JD TURNER
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Credential | MD
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Telephone | 937-435-7789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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