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General NPI Number Information
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NPI Number | 1134142631
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Entity Type | Organization
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Legal Business Name | BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1036 S VERITY PKWY
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City | MIDDLETOWN
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State | OH
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Zip | 45044-5513
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Country | US
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Telephone | 513-454-1460
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Fax | 513-454-1484
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Provider Business Mailing Address
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Address Line | PO BOX 837
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City | HAMILTON
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State | OH
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Zip | 45012-0837
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Country | US
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Telephone | 513-445-4146
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Fax | 513-454-1484
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Authorized Official
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Title or Position | CFO
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Name | RYAN G RANDALL
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Credential |
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Telephone | 513-454-1460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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