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NPI 1922366806

NPI 1922366806 : TOLEDO METRO HOUSING COMMUNITY DEVELOPMENT NETWORK : TOLEDO, OH

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General NPI Number Information
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    NPI Number           |    1922366806
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOLEDO METRO HOUSING COMMUNITY DEVELOPMENT NETWORK 
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Dates
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    Enumeration Date     |    04/27/2012
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    Last Update Date     |    10/08/2012
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Provider Practice Location Address
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    Address Line         |    316 N MICHIGAN ST 414
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43604-5667
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    Country              |    US
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    Telephone            |    419-508-1524
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    Fax                  |    419-241-2088
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Provider Business Mailing Address
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    Address Line         |    316 N MICHIGAN ST 414
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43604-5667
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    Country              |    US
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    Telephone            |    419-508-1524
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    Fax                  |    419-241-2088
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |    MR. LORELL  ANDERSON II
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    Credential           |    
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    Telephone            |    419-508-1524
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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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