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General NPI Number Information
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NPI Number | 1720349434
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Entity Type | Organization
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Legal Business Name | MUSKINGUM COUNTY DRUG ALCOHOL & SUBSTANCE ABUSE COUNCIL INC
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 1127 W MAIN ST
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City | ZANESVILLE
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State | OH
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Zip | 43701
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Country | US
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Telephone | 740-454-1266
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Fax | 740-454-7650
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Provider Business Mailing Address
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Address Line | 1127 WEST MAIN STREET
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City | ZANESVILLE
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State | OH
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Zip | 43701-3771
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Country | US
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Telephone | 740-454-1266
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | GAYLE STEIL
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Credential |
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Telephone | 740-454-1266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 01422
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 01422
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License Number State | OH
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 01422
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License Number State | OH
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