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General NPI Number Information
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NPI Number | 1649181561
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Entity Type | Organization
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Legal Business Name | LICKING MEMORIAL HEALTH PROFESSIONALS
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 1717 W MAIN ST STE 100
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City | NEWARK
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State | OH
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Zip | 43055-3676
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Country | US
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Telephone | 220-564-3950
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Fax | 220-564-3951
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Provider Business Mailing Address
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Address Line | 1717 W MAIN ST STE 100
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City | NEWARK
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State | OH
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Zip | 43055-3676
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Country | US
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Telephone | 220-564-3950
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Fax | 220-564-3951
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Authorized Official
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Title or Position | VP, FINANCIAL SERVICES
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Name | CYNTHIA L. WEBSTER
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Credential |
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Telephone | 220-564-4518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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