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General NPI Number Information
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NPI Number | 1679002166
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Entity Type | Organization
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Legal Business Name | WOOD COUNTY CHILDREN'S SERVICES ASSOCIATION
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1045 KLOTZ RD
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City | BOWLING GREEN
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State | OH
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Zip | 43402-4820
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Country | US
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Telephone | 419-352-7588
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Fax | 419-354-4977
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Provider Business Mailing Address
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Address Line | PO BOX 738
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City | BOWLING GREEN
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State | OH
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Zip | 43402-0738
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Country | US
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Telephone | 419-352-7588
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Fax | 419-354-4977
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MELANIE VANDYNE
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Credential |
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Telephone | 419-352-7588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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