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General NPI Number Information
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NPI Number | 1164844064
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Entity Type | Organization
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Legal Business Name | DIRECTIONS OFFENDER SERVICES,INC.
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 104 W MAIN ST
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City | CARDINGTON
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State | OH
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Zip | 43315-1009
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Country | US
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Telephone | 419-864-0023
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Fax | 419-718-4086
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Provider Business Mailing Address
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Address Line | 104 W MAIN ST
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City | CARDINGTON
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State | OH
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Zip | 43315-1009
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Country | US
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Telephone | 419-864-0023
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Fax | 419-718-4086
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MR. RANDY SHEARS
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Credential |
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Telephone | 419-864-0023
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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 | 12794
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License Number State | OH
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