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General NPI Number Information
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NPI Number | 1033209721
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH YOUNGSTOWN LLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 979 TIBBETTS WICK RD SUITE A
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City | GIRARD
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State | OH
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Zip | 44420-1182
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Country | US
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Telephone | 330-480-3776
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Fax | 330-480-4584
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Provider Business Mailing Address
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Address Line | PO BOX 207
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City | YOUNGSTOWN
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State | OH
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Zip | 44501-0207
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Country | US
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Telephone | 330-480-3776
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Fax | 330-480-4584
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Authorized Official
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Title or Position | CFO YOUNGSTOWN
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Name | MR. ANTHONY SEMINARO
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Credential |
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Telephone | 330-480-6063
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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 | 367518
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License Number State | OH
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