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General NPI Number Information
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NPI Number | 1093313561
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Entity Type | Organization
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Legal Business Name | LINCOLN HEIGHTS OUTREACH, INC.
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Dates
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Enumeration Date | 10/15/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 9931 WAYNE AVE
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City | CINCINNATI
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State | OH
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Zip | 45215-1407
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Country | US
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Telephone | 513-554-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 9931 WAYNE AVE
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City | CINCINNATI
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State | OH
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Zip | 45215-1407
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Country | US
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Telephone | 513-554-4455
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Fax |
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Authorized Official
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Title or Position | BOARD CHAIRMAN
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Name | ROBERT L ROBINSON
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Credential |
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Telephone | 513-673-6393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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