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General NPI Number Information
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NPI Number | 1962173153
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Entity Type | Organization
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Legal Business Name | ADVANTAGE FAMILY OUTREACH & FOSTER CARE
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 147 W MAIN ST
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City | SHELBY
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State | OH
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Zip | 44875-1439
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Country | US
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Telephone | 419-526-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 147 W MAIN ST
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City | SHELBY
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State | OH
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Zip | 44875-1439
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Country | US
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Telephone | 419-526-5437
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. KAREN L MCGUGIN
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Credential | LSW
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Telephone | 419-571-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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