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General NPI Number Information
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NPI Number | 1104991470
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Entity Type | Organization
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Legal Business Name | ASTOP INC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1519 N MAIN ST STE 6
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City | LIMA
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State | OH
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Zip | 45801
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Country | US
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Telephone | 419-222-4557
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Fax | 419-224-8608
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Provider Business Mailing Address
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Address Line | 1519 N MAIN ST STE 6
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City | LIMA
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State | OH
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Zip | 45801
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Country | US
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Telephone | 419-222-4557
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Fax | 419-224-8608
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CAROL ANN GRADY
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Credential | MS LSW CCDC IIIE
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Telephone | 419-222-4557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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