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General NPI Number Information
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NPI Number | 1235298480
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACTION COMMISSION OF FAYETTE COUNTY
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1400 US ROUTE 22 NW
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160
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Country | US
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Telephone | 740-335-7282
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Fax | 740-335-6802
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Provider Business Mailing Address
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Address Line | 1400 US ROUTE 22 NW,
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160
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Country | US
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Telephone | 740-335-7282
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Fax | 740-335-6802
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Authorized Official
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Title or Position | EXECUTIVE DIRECCTOR
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Name | LUCINDA JEAN BAUGHN
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Credential |
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Telephone | 740-335-7282
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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