# SAMUEL C. DOCENA, MD.,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538459821
- **Authorized official:** DR. SAMUEL C DOCENA MD (OWNER)
- **Authorized official phone:** (513) 858-6110

## Contact information

- **Practice address:** 1244 NILLES RD STE 10, FAIRFIELD, OH 45014-2788
- **Practice address phone:** (513) 858-6110
- **Practice address fax:** (513) 858-2732
- **Mailing address:** 1244 NILLES RD STE 10, FAIRFIELD, OH 45014-2788
- **Mailing address phone:** (513) 858-6110
- **Mailing address fax:** (513) 858-2732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2011
- **Last updated:** 04/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0739473 | — | OH |
| 01 | — | 1376600973 | NPI | OH |