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General NPI Number Information
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NPI Number | 1508653213
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Entity Type | Organization
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Legal Business Name | HEALTH CONNECT AMERICA OF OHIO, INC.
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 5080 BRADENTON AVE STE C
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City | DUBLIN
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State | OH
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Zip | 43017-7582
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Country | US
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Telephone | 614-943-4212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 682427
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City | FRANKLIN
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State | TN
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Zip | 37068-2427
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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 | EXECUTIVE OFFICER OF OPERATIONS
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Name | PRESTON MARTIN
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Credential |
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Telephone | 919-790-8580
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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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