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General NPI Number Information
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NPI Number | 1912451147
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Entity Type | Individual
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Provider Name | KEVIN FORD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3333 GLENDALE AVE
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City | TOLEDO
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State | OH
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Zip | 43614-2426
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Country | US
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Telephone | 419-383-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 TREMAINSVILLE RD
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City | TOLEDO
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State | OH
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Zip | 43613-4039
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Country | US
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Telephone | 419-214-0606
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S. 1600009
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License Number State | OH
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