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General NPI Number Information
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NPI Number | 1750370367
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Entity Type | Organization
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Legal Business Name | OHIO CITY CORPORATION
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 103 S. MAIN ST.
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City | OHIO CITY
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State | OH
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Zip | 45874
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Country | US
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Telephone | 419-965-2255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 246
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City | OHIO CITY
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State | OH
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Zip | 45874-0246
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Country | US
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Telephone | 800-962-1484
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Fax |
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | ELISHA SUE MANKEY
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Credential |
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Telephone | 419-965-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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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 | 341600000X
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Taxonomy Name | Ambulance
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License Number | FCY.021231000-13
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License Number State | OH
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