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General NPI Number Information
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NPI Number | 1447677406
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACTION WAYNE/MEDINA
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 2375 BENDEN DR STE B
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City | WOOSTER
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State | OH
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Zip | 44691-2576
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Country | US
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Telephone | 330-264-8677
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Fax | 330-202-7854
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Provider Business Mailing Address
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Address Line | 2375 BENDEN DR STE B
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City | WOOSTER
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State | OH
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Zip | 44691-2576
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Country | US
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Telephone | 330-264-8677
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Fax | 330-202-7854
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Authorized Official
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Title or Position | SR. VP & CFO
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Name | DON S ACKERMAN
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Credential |
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Telephone | 330-264-8677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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