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General NPI Number Information
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NPI Number | 1073805420
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Entity Type | Organization
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Legal Business Name | HOSPICE OF TUSCARAWAS COUNTY, INC
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 716 COMMERCIAL AVE SW
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663-9367
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Country | US
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Telephone | 330-343-7605
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Fax | 330-343-3542
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Provider Business Mailing Address
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Address Line | 716 COMMERCIAL AVE SW
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663-9367
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Country | US
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Telephone | 330-343-7605
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Fax | 330-343-3542
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | SUE OTT
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Credential |
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Telephone | 330-343-7605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.061811
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.055339
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License Number State | OH
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