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General NPI Number Information
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NPI Number | 1588398366
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Entity Type | Organization
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Legal Business Name | GRO COMMUNITY OHIO LLC
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 6809 MAIN ST # 1038
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City | CINCINNATI
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State | OH
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Zip | 45244-3470
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Country | US
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Telephone | 773-253-8385
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Fax |
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Provider Business Mailing Address
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Address Line | 259 E 115TH ST
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City | CHICAGO
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State | IL
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Zip | 60628-5014
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Country | US
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Telephone | 773-253-8385
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | AARON MALLORY
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Credential |
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Telephone | 773-253-8385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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