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General NPI Number Information
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NPI Number | 1336486703
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Entity Type | Organization
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Legal Business Name | FAMILY COUNSELING AND REHABILITATION CENTER OF OHIO
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Dates
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Enumeration Date | 01/05/2013
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Last Update Date | 11/30/2016
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Provider Practice Location 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 | 304-893-7580
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 216
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City | BELPRE
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State | OH
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Zip | 45714-0216
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Country | US
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Telephone |
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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 | 304-893-7580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 |
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License Number State |
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