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General NPI Number Information
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NPI Number | 1871161539
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Entity Type | Organization
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Legal Business Name | CHRISTIAN CHILDREN'S HOME OF OHIO
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 2685 ARMSTRONG RD
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City | WOOSTER
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State | OH
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Zip | 44691-9041
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Country | US
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Telephone | 330-345-7949
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Fax |
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Provider Business Mailing Address
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Address Line | 2685 ARMSTRONG RD
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City | WOOSTER
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State | OH
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Zip | 44691-9041
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Country | US
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Telephone | 330-345-7949
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KEVIN R HEWITT
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Credential | MSW, LSW
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Telephone | 330-345-7949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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