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General NPI Number Information
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NPI Number | 1578625679
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Entity Type | Organization
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Legal Business Name | MONTGOMERY COUNTY COURT HOUSE
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 117 S MAIN ST HOME CARE - 3RD FLOOR
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City | DAYTON
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State | OH
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Zip | 45422
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Country | US
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Telephone | 937-225-4500
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Fax | 937-496-3318
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Provider Business Mailing Address
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Address Line | 117 S MAIN ST FSO - SECOND FLOOR
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City | DAYTON
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State | OH
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Zip | 45422-2005
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Country | US
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Telephone | 937-225-4543
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Fax | 937-496-3318
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Authorized Official
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Title or Position | HEALTH COMMISSIONER
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Name | MR. JEFFREY A. COOPER
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Credential | MS
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Telephone | 937-225-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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