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General NPI Number Information
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NPI Number | 1043202328
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Entity Type | Organization
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Legal Business Name | MAHONING MEDICAL EQUIPMENT INC.
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 60 N CANFIELD NILES RD STE 100
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2340
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Country | US
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Telephone | 330-259-0054
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Fax | 330-797-8840
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Provider Business Mailing Address
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Address Line | 60 N CANFIELD NILES RD STE 100
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2340
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Country | US
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Telephone | 330-259-0054
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Fax | 330-797-8840
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHRISTINA L GACA
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Credential |
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Telephone | 330-259-0054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 90010286
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License Number State | OH
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