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General NPI Number Information
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NPI Number | 1902306954
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Entity Type | Organization
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Legal Business Name | 50 NORTH
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 339 E MELROSE AVE
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City | FINDLAY
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State | OH
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Zip | 45840-4408
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Country | US
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Telephone | 419-423-8496
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Fax | 419-423-4980
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Provider Business Mailing Address
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Address Line | 339 E MELROSE AVE
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City | FINDLAY
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State | OH
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Zip | 45840-4408
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Country | US
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Telephone | 419-423-8496
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Fax | 419-423-4980
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Authorized Official
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Title or Position | FACILITY DIRECTOR
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Name | MR. BARRY L SIMMONS
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Credential |
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Telephone | 419-423-8496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | OH
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