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General NPI Number Information
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NPI Number | 1083828305
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Entity Type | Organization
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Legal Business Name | MASSILLON HEALTH DEPT
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 611 ERIE ST S
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City | MASSILLON
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State | OH
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Zip | 44646-6711
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Country | US
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Telephone | 330-830-1713
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Fax | 330-830-2852
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Provider Business Mailing Address
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Address Line | 111 TREMONT AVE SW
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City | MASSILLON
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State | OH
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Zip | 44647-6571
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Country | US
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Telephone | 330-830-1713
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Fax | 330-830-2852
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. AUDREY SYLVESTER
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Credential |
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Telephone | 330-830-1713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | RN260840
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License Number State | OH
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