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General NPI Number Information
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NPI Number | 1902950009
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Entity Type | Organization
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Legal Business Name | HARCATUS TRI-COUNTY C.A.O. INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 GRANT ST
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City | DENNISON
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State | OH
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Zip | 44621-1216
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Country | US
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Telephone | 740-922-0933
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Fax | 740-922-4128
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Provider Business Mailing Address
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Address Line | 220 GRANT ST
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City | DENNISON
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State | OH
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Zip | 44621-1216
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Country | US
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Telephone | 740-922-0933
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Fax | 740-922-4128
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CHARLES E. LORENZ II
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Credential |
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Telephone | 740-922-0933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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