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General NPI Number Information
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NPI Number | 1164240610
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACTION PROGRAM COMMISSION OF THE LANCASTER-FAIRFIELD COUNTY
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 1743 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-9838
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Country | US
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Telephone | 740-653-4146
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Fax | 740-653-4462
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Provider Business Mailing Address
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Address Line | PO BOX 768
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City | LANCASTER
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State | OH
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Zip | 43130-0768
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Country | US
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Telephone | 740-653-4146
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Fax | 740-653-4462
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | SCOTT D PORTER
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Credential |
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Telephone | 740-653-4146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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