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NPI 1205029543

NPI 1205029543 : SENECA COUNTY COMMISSION ON AGING : TIFFIN, OH

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General NPI Number Information
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    NPI Number           |    1205029543
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    Entity Type          |    Organization 
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    Legal Business Name  |    SENECA COUNTY COMMISSION ON AGING 
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Dates
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    Enumeration Date     |    08/21/2007
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    Last Update Date     |    10/07/2024
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Provider Practice Location Address
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    Address Line         |    382 S HURON ST 
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    City                 |    TIFFIN
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    State                |    OH
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    Zip                  |    44883-1887
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    Country              |    US
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    Telephone            |    419-447-5972
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    Fax                  |    419-447-6284
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Provider Business Mailing Address
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    Address Line         |    382 S HURON ST 
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    City                 |    TIFFIN
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    State                |    OH
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    Zip                  |    44883-1887
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    Country              |    US
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    Telephone            |    419-447-5795
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    Fax                  |    419-447-6284
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. BRYAN P GLOVER 
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    Credential           |    
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    Telephone            |    419-447-5792
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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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