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General NPI Number Information
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NPI Number | 1861774275
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Entity Type | Organization
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Legal Business Name | EQUAL PEOPLE, LLC
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 1190 N BROAD ST
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City | FAIRBORN
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State | OH
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Zip | 45324
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Country | US
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Telephone | 937-318-8429
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Fax | 937-318-8534
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Provider Business Mailing Address
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Address Line | 1190 N BROAD ST
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City | FAIRBORN
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State | OH
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Zip | 45324
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Country | US
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Telephone | 937-318-8429
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Fax | 937-318-8534
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MR. DON E LOUGH II
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Credential |
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Telephone | 937-318-8429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 5706472
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License Number State | OH
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