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General NPI Number Information
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NPI Number | 1043815566
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Entity Type | Individual
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Provider Name | ERIC MCELROY
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Gender | Male
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 155 JEFFERSON ST
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City | CAMPBELL
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State | OH
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Zip | 44405-1831
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Country | US
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Telephone | 330-774-5405
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 MCGUFFEY RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-3836
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Country | US
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Telephone | 330-599-2141
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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License Number State |
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