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General NPI Number Information
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NPI Number | 1295943090
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES SERVING PORTAGE AND STARK COUNTIES
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 2308 RENO DR
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City | LOUISVILLE
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State | OH
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Zip | 44641-9083
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Country | US
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Telephone | 330-875-7979
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Fax | 330-875-3006
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Provider Business Mailing Address
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Address Line | 206 W MAIN ST
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City | RAVENNA
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State | OH
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Zip | 44266-2714
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Country | US
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Telephone | 330-297-7745
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Fax | 330-297-7763
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GEORGE GARCHAR
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Credential |
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Telephone | 330-297-7745
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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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