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General NPI Number Information
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NPI Number | 1033148861
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Entity Type | Organization
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Legal Business Name | NRA-COSHOCTON, OHIO, LLC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 235 KENWOOD DR
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City | COSHOCTON
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State | OH
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Zip | 43812-1997
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Country | US
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Telephone | 740-622-6474
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Fax | 740-622-6476
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Provider Business Mailing Address
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Address Line | 730 COOL SPRINGS BLVD SUITE 100
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City | FRANKLIN
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State | TN
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Zip | 37067-7289
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Country | US
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Telephone | 615-771-4400
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Fax | 615-771-4401
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Authorized Official
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Title or Position | CHIEF MANAGER
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Name | MR. JOSEPH A. CASHIA
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Credential | N/A
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Telephone | 615-771-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | PENDING
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License Number State | OH
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