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General NPI Number Information
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NPI Number | 1235819996
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Entity Type | Organization
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Legal Business Name | SOLUTION CENTER S CORP
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 4949 NORTHCUTT PL
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City | DAYTON
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State | OH
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Zip | 45414-3839
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Country | US
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Telephone | 763-647-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 1756 129TH AVE NE
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City | BLAINE
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State | MN
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Zip | 55449-6264
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Country | US
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Telephone | 763-647-8894
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | FRU EMMANUEL NGANG
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Credential |
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Telephone | 763-647-8894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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