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General NPI Number Information
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NPI Number | 1508923061
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE DEVELOPMENTAL CENTER
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 66737 TOLAND DR
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City | CAMBRIDGE
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State | OH
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Zip | 43725-1155
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Country | US
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Telephone | 740-439-1371
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Fax | 740-439-4382
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Provider Business Mailing Address
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Address Line | 66737 TOLAND DR
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City | CAMBRIDGE
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State | OH
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Zip | 43725-1155
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Country | US
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Telephone | 740-439-1371
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Fax | 740-439-4382
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MRS. CATHLEEN BALLINGER
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Credential |
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Telephone | 740-439-1371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | OH
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