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General NPI Number Information
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NPI Number | 1518366384
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Entity Type | Organization
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Legal Business Name | VINEYARD COMMUNITY CENTER
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 6000 COOPER RD
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City | WESTERVILLE
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State | OH
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Zip | 43081-8984
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Country | US
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Telephone | 614-890-0000
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Fax | 614-890-5056
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Provider Business Mailing Address
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Address Line | 6000 COOPER RD
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City | WESTERVILLE
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State | OH
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Zip | 43081-8984
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Country | US
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Telephone | 614-890-0000
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Fax | 614-890-5056
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF VINEYARD COMM
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Name | MR. DANIEL NATHAN
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Credential |
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Telephone | 614-259-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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