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General NPI Number Information
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NPI Number | 1073922340
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Entity Type | Individual
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Provider Name | MRS. MARY ARLEDGE
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Gender | Female
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 3482 S SR 134
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City | WILMINGTON
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State | OH
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Zip | 45177-7804
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Country | US
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Telephone | 513-448-7097
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Fax | 203-632-4695
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Provider Business Mailing Address
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Address Line | 3482 S SR 134
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City | WILMINGTON
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State | OH
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Zip | 45177-7804
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Country | US
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Telephone | 513-448-7097
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Fax | 203-632-4695
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 50189217
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 321741660114
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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