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General NPI Number Information
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NPI Number | 1902802481
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Entity Type | Organization
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Legal Business Name | COUNTY OF PUTNAM OFFICE OF AUDITOR
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 575 OTTAWA GLANDORF RD STE 3
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City | OTTAWA
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State | OH
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Zip | 45875-1932
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Country | US
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Telephone | 419-523-4449
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Fax | 419-523-6328
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Provider Business Mailing Address
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Address Line | 575 OTTAWA GLANDORF RD
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City | OTTAWA
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State | OH
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Zip | 45875-1932
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Country | US
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Telephone | 419-523-4449
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Fax | 419-523-6328
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHRISTOPHER TRENT BOOP
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Credential | PT, DPT
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Telephone | 419-523-4449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | NO LICENSE # ISSUED
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License Number State | OH
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