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General NPI Number Information
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NPI Number | 1770783433
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Entity Type | Organization
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Legal Business Name | SUMMIT COUNTY CHILDREN SERVICES BOARD
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 966 CLARK ST
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City | AKRON
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State | OH
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Zip | 44306-1347
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Country | US
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Telephone | 330-379-1824
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Fax | 330-996-1088
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Provider Business Mailing Address
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Address Line | 264 S ARLINGTON ST
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City | AKRON
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State | OH
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Zip | 44306-1354
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Country | US
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Telephone | 330-379-2001
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Fax | 330-375-1313
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MR. GARY BINNS
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Credential |
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Telephone | 330-379-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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