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General NPI Number Information
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NPI Number | 1255669461
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Entity Type | Organization
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Legal Business Name | OHIO DISABILITY TRANISTION SVCS, LLC
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Dates
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Enumeration Date | 11/28/2009
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Last Update Date | 11/28/2009
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Provider Practice Location Address
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Address Line | 1500 BRICE RD SUITE 103
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-2341
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Country | US
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Telephone | 614-585-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 6031 E MAIN ST SUITE 158
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City | COLUMBUS
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State | OH
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Zip | 43213-3356
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Country | US
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Telephone | 614-585-0048
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. COURTNEE SCOTT BENJAMIN
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Credential |
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Telephone | 614-585-0048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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