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General NPI Number Information
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NPI Number | 1598889305
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Entity Type | Organization
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Legal Business Name | AUGLAIZE INDUSTRIES, INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 330 W BOESEL AVE
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City | NEW BREMEN
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State | OH
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Zip | 45869-1311
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Country | US
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Telephone | 419-629-3603
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Fax | 419-629-3983
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Provider Business Mailing Address
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Address Line | 330 W. BOESEL AVE.
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City | NEW BREMEN
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State | OH
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Zip | 45885-1311
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Country | US
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Telephone | 419-629-3603
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Fax | 419-629-3983
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Authorized Official
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Title or Position | DIRECTOR OF ADULT SERVICES
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Name | MR. GREG FERRALL
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Credential |
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Telephone | 419-629-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 0860126
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License Number State | OH
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