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General NPI Number Information
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NPI Number | 1013125525
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Entity Type | Organization
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Legal Business Name | ATHENS COUNTY DEPARTMENT OF JOB & FAMILY SERVICES
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 184 N LANCASTER ST
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City | ATHENS
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State | OH
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Zip | 45701-1605
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Country | US
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Telephone | 740-592-4477
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Fax | 740-593-6373
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Provider Business Mailing Address
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Address Line | 184 N LANCASTER ST
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City | ATHENS
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State | OH
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Zip | 45701-1605
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Country | US
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Telephone | 740-592-4477
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Fax | 740-593-6373
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH SERVICES
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Name | MRS. TARA B WALLACE
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Credential | MHSA
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Telephone | 740-592-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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