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General NPI Number Information
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NPI Number | 1275895476
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Entity Type | Organization
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Legal Business Name | WARREN COUNTY COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 570 N STATE ROUTE 741
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City | LEBANON
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State | OH
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Zip | 45036-8839
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Country | US
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Telephone | 513-695-2100
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Fax | 513-695-2277
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Provider Business Mailing Address
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Address Line | 570 N STATE ROUTE 741
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City | LEBANON
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State | OH
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Zip | 45036-8839
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Country | US
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Telephone | 513-695-2100
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Fax | 513-695-2277
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. TOM SALZBRUN
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Credential |
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Telephone | 513-695-2201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | OH
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Taxonomy #2
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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 | OH
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | OH
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