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General NPI Number Information
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NPI Number | 1659277093
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Entity Type | Organization
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Legal Business Name | LICKING COUNTY
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Dates
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Enumeration Date | 10/14/2026
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Last Update Date | 10/14/2026
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Provider Practice Location Address
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Address Line | 745 E MAIN ST
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City | NEWARK
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State | OH
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Zip | 43055-6932
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Country | US
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Telephone | 740-670-5180
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Fax | 740-670-5183
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Provider Business Mailing Address
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Address Line | 745 E MAIN ST
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City | NEWARK
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State | OH
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Zip | 43055-6932
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Country | US
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Telephone | 740-670-5180
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Fax | 740-670-5183
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MATTHEW BRYAN ALLISON I
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Credential | MBA
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Telephone | 740-670-5180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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