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Provider Type Acupuncturist Adaptive Behavior Service Provider AMBULANCE AMBULATORY SURGERY CENTER Anesthesia Assistant Individual AUDIOLOGIST INDIVIDUAL Behavioral Health Para-Professionals Building and Wing ID for LTC Facilities Only CERTIFIED REGISTERED NURSE ANESTHETIST INDIVIDUAL CHEMICAL DEPENDENCY Chiropractor Individual CLINIC CLINICAL COUNSELING Clinical Nurse Specialist Individual Converted Inactive Provider/Type CPC Entity Dentist Individual DODD TARGETED CASE MANAGEMENT Doula DURABLE MEDICAL EQUIPMENT SUPPLIER END-STAGE RENAL DISEASE CLINIC Enhanced Care Management EYEGLASS VOLUME PURCHASE CONTRACT VENDOR FEDERALLY QUALIFIED HEALTH CENTER Franchise Fee Only (Non-Medicaid Provider) FREE STANDING BIRTH CENTER Health Maintenance Organization HELP ME GROW HOME AND COMMUNITY BASED ODA ASSISTED LIVING Hospice Hospital Independent Diagnostic Testing Facility INDEPENDENT LABORATORY Licensee MANAGED CARE ORGANIZATION PANEL PROVIDER ONLY MARRIAGE AND FAMILY THERAPY MEDICAID SCHOOL PROGRAM Medicare Certified Home Health Agency MENTAL HEALTH CLINIC Non-Agency Home Care Attendant NON-AGENCY NURSE -- RN OR LPN Non-Agency Personal Care Aide NON-STATE OPERATED ICF-DD Nurse Midwife Individual Nurse Practitioner Individual NURSING FACILITY Occupational Therapist, Individual OHIO DEPARTMENT OF MENTAL HEALTH PROVIDER OMHAS CERTIFIED/LICENSED TREATMENT PROGRAM Operator OPTICIAN/OCULARIST Optometrist Individual OTHER ACCREDITED HOME HEALTH AGENCY OUTPATIENT HEALTH FACILITY PACE Pediatric Recovery Center Pharmacist PHARMACY Physical Therapist, Individual PHYSICIAN ASSISTANT Physician/Osteopath Individual Podiatrist Individual PORTABLE X-RAY SUPPLIER Professional Dental Group Professional Medical Group Psychiatric Hospital PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY PSYCHOLOGY REGISTERED DIETITIAN NUTRITIONIST Rural Health Clinic SOCIAL WORK SPEECH LANGUAGE PATHOLOGIST INDIVIDUAL State of Ohio Department Agency STATE OPERATED ICF-DD Supported Living Unpaid Support Broker Veteran Home Waivered Services Individual WAIVERED SERVICES ORGANIZATION WHEELCHAIR VAN