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General NPI Number Information
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NPI Number | 1609973817
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Entity Type | Organization
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Legal Business Name | FAMILY CARE OF ASHLAND INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 309 ARTHUR ST
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City | ASHLAND
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State | OH
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Zip | 44805-3206
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Country | US
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Telephone | 419-207-8229
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Fax |
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Provider Business Mailing Address
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Address Line | 270 PORTLAND WAY S
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City | GALION
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State | OH
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Zip | 44833-2362
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Country | US
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Telephone | 419-207-8229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN THOMAS HANNA
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Credential | MD
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Telephone | 419-407-8226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-055568
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License Number State | OH
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