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General NPI Number Information
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NPI Number | 1942906516
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Entity Type | Organization
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Legal Business Name | DAYTON HOSPITALITY LLC
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 04/15/2023
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Provider Practice Location Address
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Address Line | 6751 N SUNSET BLVD STE 320
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City | GLENDALE
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State | AZ
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Zip | 85305-3155
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Country | US
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Telephone | 443-610-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 3293 S WABASH CT
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City | DENVER
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State | CO
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Zip | 80231-4523
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Country | US
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Telephone | 443-610-1249
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH NEKAMBUZA
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Credential |
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Telephone | 443-610-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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