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General NPI Number Information
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NPI Number | 1306188297
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Entity Type | Organization
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Legal Business Name | UMCH FAMILY SERVICES
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 1033 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4026
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Country | US
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Telephone | 614-310-0902
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Fax | 614-310-0905
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Provider Business Mailing Address
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Address Line | 1033 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4026
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Country | US
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Telephone | 614-310-0902
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Fax | 614-310-0905
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | BETH GERBER
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Credential |
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Telephone | 614-310-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | C.1000004
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License Number State | OH
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