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General NPI Number Information
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NPI Number | 1548450380
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Entity Type | Organization
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Legal Business Name | CRAWFORD COUNTY COUNCIL ON AGING, INC.
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 200 S SPRING ST
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City | BUCYRUS
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State | OH
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Zip | 44820-2227
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Country | US
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Telephone | 419-562-3050
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Fax | 419-562-0759
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Provider Business Mailing Address
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Address Line | PO BOX 166
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City | BUCYRUS
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State | OH
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Zip | 44820-0166
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Country | US
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Telephone | 419-562-3050
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Fax | 419-562-0759
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARGARET KAY WELLS
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Credential |
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Telephone | 419-562-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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