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General NPI Number Information
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NPI Number | 1235134891
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Entity Type | Organization
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Legal Business Name | CITY OF COSHOCTON
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 400 BROWNS LN
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City | COSHOCTON
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State | OH
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Zip | 43812-2044
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Country | US
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Telephone | 740-622-1736
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Fax | 740-623-5929
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Provider Business Mailing Address
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Address Line | 400 BROWNS LN
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City | COSHOCTON
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State | OH
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Zip | 43812-2044
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Country | US
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Telephone | 740-622-1736
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Fax | 740-623-5929
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. WENDY J. REDMOND
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Credential | M.D.
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Telephone | 740-622-1736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 36-7011
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License Number State | OH
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