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General NPI Number Information
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NPI Number | 1659304129
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF SOUTHWESTERN OHIO
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 1910 FAIRGROVE AVE SUITE B
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City | HAMILTON
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State | OH
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Zip | 45011-1930
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Country | US
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Telephone | 513-863-6129
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Fax | 513-863-0524
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Provider Business Mailing Address
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Address Line | 1910 FAIRGROVE AVE SUITE B
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City | HAMILTON
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State | OH
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Zip | 45011-1930
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Country | US
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Telephone | 513-863-6129
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Fax | 513-863-0524
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Authorized Official
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Title or Position | CEO
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Name | MR. TED BERGH
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Credential |
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Telephone | 513-241-7745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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