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General NPI Number Information
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NPI Number | 1366259632
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Entity Type | Organization
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Legal Business Name | GREATER OUTCOMES CARE HOUSE
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 9420 TOWNE SQUARE AVE
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City | BLUE ASH
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State | OH
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Zip | 45242-6922
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Country | US
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Telephone | 513-399-2214
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Fax |
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Provider Business Mailing Address
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Address Line | 6688 VAN KIRK AVE
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City | CINCINNATI
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State | OH
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Zip | 45216-1900
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Country | US
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Telephone | 513-399-2214
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | COURTNEY DAVIS
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Credential |
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Telephone | 513-399-2214
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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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