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General NPI Number Information
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NPI Number | 1770540148
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Entity Type | Organization
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Legal Business Name | IKRON CORPORATION
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2347 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45219-1745
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Country | US
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Telephone | 513-621-1117
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Fax | 513-621-2350
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Provider Business Mailing Address
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Address Line | 2347 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45219-1745
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Country | US
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Telephone | 513-621-1117
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Fax | 513-621-2350
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RANDY E STRUNK
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Credential | MA, LPCC
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Telephone | 513-621-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 0317
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License Number State | OH
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