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General NPI Number Information
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NPI Number | 1073243101
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACTION COMMITTEE OF PIKE COUNTY
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 528 S WEST ST
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City | PIKETON
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State | OH
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Zip | 45661-8042
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Country | US
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Telephone | 740-577-3025
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 799
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City | PIKETON
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State | OH
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Zip | 45661-0799
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Country | US
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Telephone | 740-289-2371
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Fax | 740-289-3545
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KEITH ERIC PITTS
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Credential |
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Telephone | 740-289-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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