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General NPI Number Information
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NPI Number | 1619604840
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Entity Type | Organization
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Legal Business Name | CARROLL COUNTY COUNCIL FOR AGING
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 100 KENSINGTON RD NE
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City | CARROLLTON
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State | OH
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Zip | 44615-9499
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Country | US
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Telephone | 330-627-7017
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Fax | 330-476-6402
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Provider Business Mailing Address
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Address Line | PO BOX 14
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City | CARROLLTON
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State | OH
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Zip | 44615-0014
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Country | US
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Telephone | 330-627-7017
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Fax | 330-476-6402
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | JENNA R AUKERMAN
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Credential |
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Telephone | 330-627-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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