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General NPI Number Information
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NPI Number | 1851508030
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Entity Type | Organization
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Legal Business Name | GALLIA COUNTY COUNCIL ON AGING
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1165 STATE ROUTE 160
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City | GALLIPOLIS
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State | OH
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Zip | 45631-8407
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Country | US
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Telephone | 740-446-7000
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Fax | 740-446-7008
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Provider Business Mailing Address
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Address Line | 1165 STATE ROUTE 160
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City | GALLIPOLIS
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State | OH
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Zip | 45631-8407
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Country | US
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Telephone | 740-446-7000
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Fax | 740-446-7008
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARLENE STOUT
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Credential |
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Telephone | 740-446-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | 2007029
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License Number State | OH
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