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General NPI Number Information
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NPI Number | 1508273038
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Entity Type | Organization
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Legal Business Name | NWO COMPASSION CARE CHARITIES
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 908 HUNTERS RUN
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City | PERRYSBURG
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State | OH
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Zip | 43551-5497
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Country | US
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Telephone | 419-708-3994
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Fax |
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Provider Business Mailing Address
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Address Line | 344 S MAIN ST
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City | BOWLING GREEN
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State | OH
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Zip | 43402-3009
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Country | US
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Telephone | 419-708-3994
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EUGENIA FOUKE
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Credential |
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Telephone | 419-708-3994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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