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General NPI Number Information
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NPI Number | 1427319474
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Entity Type | Organization
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Legal Business Name | COMMUNITY COUNSELING & CRISIS CENTER
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 110 S COLLEGE AVE
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City | OXFORD
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State | OH
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Zip | 45056-1738
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Country | US
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Telephone | 513-523-4149
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Fax | 513-523-4145
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Provider Business Mailing Address
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Address Line | 110 S COLLEGE AVE
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City | OXFORD
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State | OH
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Zip | 45056-1738
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Country | US
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Telephone | 513-523-4149
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Fax | 513-523-4145
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. MARY JOAN BUTLER FINGERHUT
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Credential | LISW-S
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Telephone | 513-523-4149
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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 | OH
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