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General NPI Number Information
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NPI Number | 1740278381
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Entity Type | Organization
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Legal Business Name | COMMUNITY MENTAL HEALTH CENTERS OF WARREN COUNTY, INC
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 975 KINGSVIEW DR
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City | LEBANON
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State | OH
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Zip | 45036-9562
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Country | US
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Telephone | 513-228-7800
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Fax | 513-228-7846
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Provider Business Mailing Address
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Address Line | 975 KINGSVIEW DR BLDG A
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City | LEBANON
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State | OH
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Zip | 45036-9562
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING / BILLING
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Name | MRS. SHARON BURNETT
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Credential |
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Telephone | 513-228-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 047
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License Number State | OH
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