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General NPI Number Information
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NPI Number | 1073429312
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Entity Type | Organization
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Legal Business Name | OHIO DEVELOPMENTAL SUPPORTS LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 675 ALPHA DR STE G
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City | HIGHLAND HTS
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State | OH
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Zip | 44143-2139
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Country | US
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Telephone | 216-526-5244
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Fax |
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Provider Business Mailing Address
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Address Line | 675 ALPHA DR STE G
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City | HIGHLAND HTS
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State | OH
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Zip | 44143-2139
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Country | US
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Telephone | 216-630-8185
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER C KING III
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Credential |
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Telephone | 216-630-8185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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