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General NPI Number Information
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NPI Number | 1275607772
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL OF UNION COUNTY
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/09/2016
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Provider Practice Location Address
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Address Line | 171 MOREY DR
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City | MARYSVILLE
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State | OH
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Zip | 43040-1644
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Country | US
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Telephone | 937-644-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 500 LONDON AVE
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City | MARYSVILLE
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State | OH
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Zip | 43040-5512
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Country | US
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Telephone | 937-644-3211
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Fax |
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Authorized Official
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Title or Position | VP/CHIEF FINANCIAL OFFICER
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Name | MR. JEFF A EHLERS
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Credential |
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Telephone | 937-578-2228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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