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General NPI Number Information
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NPI Number | 1326915273
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Entity Type | Organization
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Legal Business Name | IRONTON AND LAWRENCE COUNTY COMMUNITY ACTION
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1408 CAMPBELL DR
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City | IRONTON
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State | OH
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Zip | 45638-2301
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Country | US
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Telephone | 740-452-7685
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3506
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City | ZANESVILLE
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State | OH
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Zip | 43702-3506
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Country | US
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Telephone | 740-452-7685
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | ERIC BLAKE
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Credential |
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Telephone | 740-452-7685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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