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NPI 1841258613

NPI 1841258613 : COUNTY OF LOGAN OFFICE OF AUDITOR : BELLEFONTAINE, OH

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General NPI Number Information
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    NPI Number           |    1841258613
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNTY OF LOGAN OFFICE OF AUDITOR 
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Dates
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    Enumeration Date     |    05/02/2006
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    Last Update Date     |    07/16/2015
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Provider Practice Location Address
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    Address Line         |    310 S MAIN ST 
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    City                 |    BELLEFONTAINE
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    State                |    OH
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    Zip                  |    43311-1720
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    Country              |    US
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    Telephone            |    937-592-9040
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    Fax                  |    937-592-4012
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Provider Business Mailing Address
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    Address Line         |    310 S MAIN ST 
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    City                 |    BELLEFONTAINE
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    State                |    OH
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    Zip                  |    43311-1720
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    Country              |    US
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    Telephone            |    937-592-9040
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    Fax                  |    937-592-4012
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Authorized Official
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    Title or Position    |    SUPERVISOR
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    Name                 |    MRS. LEIGH A BARNES 
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    Credential           |    RN
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    Telephone            |    937-592-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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