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General NPI Number Information
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NPI Number | 1073587192
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Entity Type | Organization
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Legal Business Name | SAMARITAN REGIONAL HEALTH SYSTEM
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1025 CENTER ST
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City | ASHLAND
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State | OH
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Zip | 44805-4011
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Country | US
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Telephone | 419-289-9636
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Fax | 419-289-2831
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Provider Business Mailing Address
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Address Line | PO BOX 772930
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City | DETROIT
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State | MI
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Zip | 48277-2930
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP CHIEF ACCOUNTING OFFICER
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Name | MICHELLE GALLUCCI
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Credential |
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Telephone | 440-382-7894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 02-0430100
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License Number State | OH
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