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NPI 1487841920

NPI 1487841920 : GIRARD CITY HEALTH DEPARTMENT : GIRARD, OH

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General NPI Number Information
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    NPI Number           |    1487841920
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    Entity Type          |    Organization 
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    Legal Business Name  |    GIRARD CITY HEALTH DEPARTMENT 
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Dates
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    Enumeration Date     |    09/28/2007
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    Last Update Date     |    09/28/2007
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Provider Practice Location Address
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    Address Line         |    100 W MAIN ST 
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    City                 |    GIRARD
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    State                |    OH
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    Zip                  |    44420-2598
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    Country              |    US
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    Telephone            |    330-545-6048
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    Fax                  |    330-539-7209
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Provider Business Mailing Address
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    Address Line         |    100 W MAIN ST 
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    City                 |    GIRARD
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    State                |    OH
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    Zip                  |    44420-2598
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    Country              |    US
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    Telephone            |    330-545-6048
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    Fax                  |    330-539-7209
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |     JAMES J. ENYEART 
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    Credential           |    MD
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    Telephone            |    330-545-6048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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