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General NPI Number Information
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NPI Number | 1184413783
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Entity Type | Organization
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Legal Business Name | COMMUNITY AND RURAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 5734 FREMONT PIKE
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City | STONY RIDGE
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State | OH
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Zip | 43463-9507
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Country | US
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Telephone | 419-334-3869
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 HAYES AVE
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City | FREMONT
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State | OH
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Zip | 43420-2632
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH LISZAK
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Credential |
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Telephone | 419-334-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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