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General NPI Number Information
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NPI Number | 1508206053
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Entity Type | Organization
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Legal Business Name | FIRST CARE OHIO, LLC
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 6943 WALES RD
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City | NORTHWOOD
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State | OH
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Zip | 43619-1075
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Country | US
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Telephone | 419-661-8815
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Fax | 419-661-8816
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Provider Business Mailing Address
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Address Line | 6943 WALES RD
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City | NORTHWOOD
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State | OH
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Zip | 43619-1075
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Country | US
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Telephone | 419-661-8815
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Fax | 419-661-8816
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Authorized Official
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Title or Position | VICE PRESIDENT BUSINESS DEVELOPMENT
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Name | MRS. MICHELLE M DOBROSKY
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Credential |
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Telephone | 419-467-5565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 310322
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License Number State | OH
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