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General NPI Number Information
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NPI Number | 1861756637
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY BUSINESS GROUP
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 2409 STRATFORD RD
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City | DELAWARE
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State | OH
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Zip | 43015-2945
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Country | US
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Telephone | 740-971-6933
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 STRATFORD RD
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City | DELAWARE
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State | OH
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Zip | 43015-2945
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Country | US
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Telephone | 740-971-6933
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Fax |
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Authorized Official
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Title or Position | PRESIDENTQ
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Name | KENNETH GREINERQ
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Credential | CPA
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Telephone | 740-971-6933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 4801656
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License Number State | OH
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