MISS ALIM VIVANCO


Address: 2641 Hibiscus Way, Apt 312, Beavercreek, OH 45431-2393
Phone: 9378300114

MISS ALIM VIVANCO (NPI# 1881977171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881977171
Entity Type Individual
Full Name MISS ALIM VIVANCO
Practice Address 2641 Hibiscus Way
Apt 312
Beavercreek
OH 45431-2393
Practice Telephone 9378300114
Mailing Telephone 9378300114
Enumeration Date 2011-09-22
Last Update Date 2011-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 23558185 OH Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 23558185 OH Allopathic & Osteopathic Physicians
Y 208D00000X General Practice 23558185 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 2641 HIBISCUS WAY
APT 312
City BEAVERCREEK
State OH
Zip Code 45431-2393

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1598232027 Holly M Williams Speech-Language Pathologist 3038 Kemp Road, Beavercreek, OH 45431 2018-11-02
1770987711 Tisha Alcorn Home Health Aide 327 Canova Ln., Dayton, OH 45431 2014-10-20
1619389301 Peyman Fattahi Dentist 3286 Pentagon Park Blvd., Beavercreek, OH 45431 2014-05-29
1497182992 Trista Muncy Social Worker 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 2013-09-30
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1750650776 Emergency Medicine Specialists, Inc Emergency Medicine 3535 Pentagon Boulevard, Beavercreek, OH 45431 2011-12-20
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225354004 Dennis Michael Sullivan General Practice 308 Melanie Ct, Beavercreek, OH 45434-6220 2010-04-19
1598281057 Advanced Medical & Wellness Center, Inc. General Practice 3060 Dayton Xenia Rd Ste A, Beavercreek, OH 45434-6393 2017-08-16

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1982237681 Hydreight Usa LLC General Practice 16738 Pearl Rd, Strongsville, OH 44136-6049 2020-02-20
1699306126 Integrated Medicine of Ohio LLC General Practice 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 2020-02-03
1437796042 Integrated Medicine of Ohio LLC General Practice 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 2019-12-02
1265078497 Jaime L Go Md Inc General Practice 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 2019-11-22
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1063062354 Independent Physical Medicine LLC General Practice 3469 W Elm St, Lima, OH 45807-2226 2019-09-18
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Competitor

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City BEAVERCREEK
Zip Code 45431

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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