Basic Information
Provider Information
NPI: 1134369655
EntityType: 2
ReplacementNPI:  
OrganizationName: ADAMS COUNTY AUDITOR
LastName:  
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Credential:  
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Mailing Information
Address1: 4750 HEMPSTEAD STATION DR
Address2:  
City: KETTERING
State: OH
PostalCode: 454295164
CountryCode: US
TelephoneNumber: 8008750136
FaxNumber:  
Practice Location
Address1: 33 W WASHINGTON STREET
Address2:  
City: WINCHESTER
State: OH
PostalCode: 45697
CountryCode: US
TelephoneNumber: 9375442010
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/24/2009
LastUpdateDate: 02/24/2009
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: SPARKS
AuthorizedOfficialFirstName: ETTA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: EMS CHIEF
AuthorizedOfficialTelephone: 9375442010
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
3416L0300X  Y Transportation ServicesAmbulanceLand Transport

No ID Information.


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