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General NPI Number Information
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NPI Number | 1841609328
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Entity Type | Organization
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Legal Business Name | ASHTABULA COUNTY COMMUNITY ACTION AGENCY
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 4200 STATE RD
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City | ASHTABULA
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State | OH
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Zip | 44004-6017
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Country | US
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Telephone | 440-993-7716
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Fax |
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Provider Business Mailing Address
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Address Line | 4510 MAIN AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-6925
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Country | US
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Telephone | 440-993-7716
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Fax | 440-992-3319
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NANCY J GRUNAUER-SETTLES
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Credential |
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Telephone | 440-993-7716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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