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General NPI Number Information
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NPI Number | 1891932398
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Entity Type | Organization
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Legal Business Name | RICHLAND COUNTY
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 592 EVELYN AVE
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City | MANSFIELD
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State | OH
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Zip | 44907
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Country | US
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Telephone | 419-522-0611
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Fax |
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Provider Business Mailing Address
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Address Line | 314 CLEVELAND AVE
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City | MANSFIELD
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State | OH
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Zip | 44902-8623
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Country | US
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Telephone | 419-774-4200
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Fax | 419-774-4207
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MS. ELIZABETH G PRATHER
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Credential |
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Telephone | 419-774-4200
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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 | 7010406
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License Number State | OH
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