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General NPI Number Information
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NPI Number | 1235588450
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO INDEPENDENCE CENTRAL OH
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 7020 HUNTLEY RD SUITE D
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City | COLUMBUS
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State | OH
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Zip | 43229-1050
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Country | US
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Telephone | 614-378-2498
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Fax |
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Provider Business Mailing Address
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Address Line | 7020 HUNTLEY RD SUITE D
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City | COLUMBUS
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State | OH
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Zip | 43229-1050
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Country | US
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Telephone | 614-378-2498
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MS. STEPHANIE SANZO
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Credential |
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Telephone | 614-378-2498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 2569475
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License Number State | OH
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