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General NPI Number Information
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NPI Number | 1447769666
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Entity Type | Organization
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Legal Business Name | CEDAR RIDGE BEHAVIORAL HEALTH SOLUTIONS
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 09/20/2017
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Provider Practice Location Address
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Address Line | 841 STEUBENVILLE AVE
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2301
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Country | US
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Telephone | 855-692-7247
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Fax |
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Provider Business Mailing Address
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Address Line | 841 STEUBENVILLE AVE
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2301
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Country | US
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Telephone | 614-394-6047
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | TROY BEYNON
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Credential | JD
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Telephone | 614-394-6047
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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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