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General NPI Number Information
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NPI Number | 1972792893
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Entity Type | Organization
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Legal Business Name | DAYTON ORTHOPEDIC CENTER, INC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 9000 N MAIN ST STE 201
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City | DAYTON
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State | OH
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Zip | 45415-1180
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Country | US
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Telephone | 937-836-4042
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Fax | 937-836-2702
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Provider Business Mailing Address
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Address Line | 9000 N MAIN ST STE 201
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City | DAYTON
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State | OH
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Zip | 45415-1180
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Country | US
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Telephone | 937-836-4042
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Fax | 937-836-2702
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ABDOLALI ELMI
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Credential | M.D.
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Telephone | 937-836-4042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35047312
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License Number State | OH
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