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General NPI Number Information
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NPI Number | 1114058674
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Entity Type | Organization
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Legal Business Name | OHIOGUIDESTONE
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/15/2017
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Provider Practice Location Address
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Address Line | 5706 TURNEY RD
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3971
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Country | US
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Telephone | 440-260-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 434 EASTLAND RD.
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City | BEREA
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State | OH
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Zip | 44017-2058
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Country | US
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Telephone | 440-260-8327
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Fax | 440-234-8319
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DONNA KEEGAN
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Credential |
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Telephone | 440-260-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | I.0009197
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I.0009197
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License Number State | OH
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