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General NPI Number Information
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NPI Number | 1093384596
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Entity Type | Organization
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Legal Business Name | TOLEDO CENTER FOR EATING DISORDERS LLC
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 3530 IRWIN SIMPSON RD FL 2
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City | MASON
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State | OH
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Zip | 45040-9766
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Country | US
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Telephone | 513-223-3923
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 MONTICELLO DR
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City | ANDERSON
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State | IN
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Zip | 46011-1223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BENJAMIN BRADY
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Credential |
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Telephone | 615-864-8145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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