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General NPI Number Information
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NPI Number | 1295165561
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING & REHABILITATION CENTER OF OHIO
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 1818 WASHINGTON BLVD
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City | BELPRE
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State | OH
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Zip | 45714-2080
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Country | US
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Telephone | 304-488-3742
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 20TH ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-3419
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Country | US
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Telephone | 304-488-3742
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNIFER ANN SIMMONS
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Credential |
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Telephone | 304-488-3742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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