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General NPI Number Information
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NPI Number | 1700179579
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Entity Type | Organization
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Legal Business Name | MEDINA COUNTY OFFICE FOR OLDER ADULTS
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 246 NORTHLAND DR SUITE G-20
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City | MEDINA
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State | OH
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Zip | 44256-3441
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Country | US
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Telephone | 330-723-9514
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Fax | 330-723-9506
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Provider Business Mailing Address
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Address Line | 246 NORTHLAND DR SUITE G-20
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City | MEDINA
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State | OH
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Zip | 44256-3441
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Country | US
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Telephone | 330-723-9514
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Fax | 330-723-9506
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JOYCE M GILES
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Credential | MS;LSW;C-SWCM
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Telephone | 330-723-9518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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