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General NPI Number Information
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NPI Number | 1245838630
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Entity Type | Organization
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Legal Business Name | MIDWEST COUNSELING CENTERS OF OHIO
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 8940 KINGSRIDGE DR STE 106
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City | DAYTON
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State | OH
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Zip | 45458-1632
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Country | US
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Telephone | 937-813-4485
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Fax | 937-813-4576
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Provider Business Mailing Address
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Address Line | 8940 KINGSRIDGE DR STE 106
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City | DAYTON
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State | OH
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Zip | 45458-1632
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Country | US
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Telephone | 937-813-4485
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Fax | 937-813-4576
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MARK K FLORO
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Credential |
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Telephone | 937-813-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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