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General NPI Number Information
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NPI Number | 1144027475
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Entity Type | Organization
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Legal Business Name | GO HEALTHCARE, INC.
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 77 E MIDLOTHIAN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-2021
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Country | US
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Telephone | 330-621-0047
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Fax | 330-639-0920
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Provider Business Mailing Address
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Address Line | 77 E MIDLOTHIAN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-2021
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Country | US
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Telephone | 330-621-0047
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Fax | 330-639-0920
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ERICA WILSON-DOMER
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Credential |
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Telephone | 614-256-2464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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