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NPI 1942194246

NPI 1942194246 : COTTER HOUSE WORTHINGTON : WORTHINGTON, OH

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General NPI Number Information
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    NPI Number           |    1942194246
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    Entity Type          |    Organization 
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    Legal Business Name  |    COTTER HOUSE WORTHINGTON 
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Dates
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    Enumeration Date     |    06/03/2025
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    Last Update Date     |    06/03/2025
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Provider Practice Location Address
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    Address Line         |    800 PROPRIETORS RD 
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    City                 |    WORTHINGTON
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    State                |    OH
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    Zip                  |    43085-3297
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    Country              |    US
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    Telephone            |    614-896-8700
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    Fax                  |    614-896-8754
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Provider Business Mailing Address
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    Address Line         |    800 PROPRIETORS RD 
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    City                 |    WORTHINGTON
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    State                |    OH
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    Zip                  |    43085-3297
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    Country              |    US
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    Telephone            |    614-896-8700
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    Fax                  |    614-896-8754
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     TAMELA  MEYERS 
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    Credential           |    LNHA
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    Telephone            |    614-896-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    311500000X
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    Taxonomy Name        |    Alzheimer Center (Dementia Center)
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    License Number       |    
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    License Number State |    
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