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General NPI Number Information
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NPI Number | 1154511897
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Entity Type | Organization
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Legal Business Name | UNITED SCIOTO SENIOR ACTIVITIES, INC.
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 117-119 MARKET ST.
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City | PORTSMOUTH
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State | OH
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Zip | 45662
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Country | US
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Telephone | 740-354-6672
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Fax | 740-354-1891
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Provider Business Mailing Address
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Address Line | 117 -119 MARKET ST. P. O. BOX 597
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City | PORTSMOUTH
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State | OH
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Zip | 45662
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Country | US
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Telephone | 740-354-6672
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Fax | 740-354-1891
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. RENEE' SUZANNE ELLIS
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Credential |
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Telephone | 740-354-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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