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General NPI Number Information
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NPI Number | 1770102089
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Entity Type | Organization
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Legal Business Name | DAY ONE INTEGRATIVE SERVICES LLC.
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 827 N MAIN ST
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City | MARION
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State | OH
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Zip | 43302-1736
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Country | US
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Telephone | 740-914-5000
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Fax | 740-914-5005
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Provider Business Mailing Address
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Address Line | 827 N MAIN ST
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City | MARION
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State | OH
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Zip | 43302-1736
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Country | US
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Telephone | 740-914-5000
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Fax | 740-914-5005
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Authorized Official
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Title or Position | CHIEF PROGRAM OFFICER
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Name | SHANNON D BISHOP
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Credential |
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Telephone | 207-602-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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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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