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General NPI Number Information
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NPI Number | 1033427752
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Entity Type | Organization
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Legal Business Name | COLT ENTERPRISES, INC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 134 E 3RD ST APT A
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City | PERRYSBURG
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State | OH
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Zip | 43551-2176
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Country | US
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Telephone | 567-336-6062
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Fax | 567-336-6069
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Provider Business Mailing Address
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Address Line | 134 E 3RD ST APT A
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City | PERRYSBURG
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State | OH
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Zip | 43551-2176
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Country | US
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Telephone | 567-336-6062
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Fax | 567-336-6069
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | JOHN BALDWIN
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Credential |
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Telephone | 567-336-6062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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