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General NPI Number Information
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NPI Number | 1902897176
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACTION PROGRAM CORP OF WASHINGTON-MORGAN COUNTIES, OHIO
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 218 PUTNAM ST
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City | MARIETTA
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State | OH
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Zip | 45750-3014
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Country | US
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Telephone | 740-373-3745
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Fax | 740-373-6775
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Provider Business Mailing Address
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Address Line | 218 PUTNAM ST P O BOX 144
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City | MARIETTA
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State | OH
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Zip | 45750-3014
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Country | US
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Telephone | 740-373-3745
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Fax | 740-373-6775
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAVID EDWIN BRIGHTBILL
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Credential |
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Telephone | 740-373-3745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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