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NPI 1457268765

NPI 1457268765 : WESTCARE OHIO, INC. : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1457268765
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTCARE OHIO, INC. 
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Dates
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    Enumeration Date     |    08/25/2026
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    Last Update Date     |    08/25/2026
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Provider Practice Location Address
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    Address Line         |    624 XENIA AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45410-1826
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    Country              |    US
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    Telephone            |    937-259-1898
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 94738 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89193-4738
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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    |    CHIEF OPERATIONS OFFICER
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    Name                 |     ANDREA  BRIDGEWATER 
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    Credential           |    
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    Telephone            |    702-385-2090
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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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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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