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General NPI Number Information
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NPI Number | 1053686022
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Entity Type | Organization
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Legal Business Name | HOCKING ATHENS PERRY COMMUNITY ACTION AGENCY
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 3 CARDARAS DR
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City | GLOUSTER
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State | OH
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Zip | 45732-8011
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Country | US
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Telephone | 740-767-4500
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Fax | 740-767-1093
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Provider Business Mailing Address
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Address Line | PO BOX 220 3 CARDARAS DRIVE
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City | GLOUSTER
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State | OH
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Zip | 45732
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Country | US
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Telephone | 740-767-4500
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Fax | 740-767-1093
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Authorized Official
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Title or Position | FOODBANK OPERATIONS DIRECTOR
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Name | NAOMI SQUIRES
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Credential |
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Telephone | 740-385-6813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 071944
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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