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General NPI Number Information
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NPI Number | 1063827608
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Entity Type | Organization
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Legal Business Name | LORAIN COUNTY OFFICE ON AGING
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 320 GATEWAY BLVD N 2ND FLOOR
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City | ELYRIA
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State | OH
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Zip | 44035-4955
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Country | US
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Telephone | 440-326-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 226 MIDDLE AVE
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City | ELYRIA
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State | OH
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Zip | 44035-5629
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ANNE SPELIC
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Credential | MPA, MSW, LSW
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Telephone | 440-326-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 412829992
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License Number State | OH
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