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General NPI Number Information
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NPI Number | 1255592556
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Entity Type | Organization
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Legal Business Name | GCH HEALTH SERVICES
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 330 N SELTZER ST
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City | CRESTLINE
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State | OH
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Zip | 44827-1403
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Country | US
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Telephone | 419-683-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 330 N SELTZER ST
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City | CRESTLINE
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State | OH
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Zip | 44827-1403
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Country | US
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Telephone | 419-683-3200
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Fax |
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Authorized Official
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Title or Position | VP/CFO
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Name | ROBERT V MELARAGNO
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Credential |
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Telephone | 419-468-0501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35075010B
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License Number State | OH
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