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General NPI Number Information
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NPI Number | 1154523827
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Entity Type | Organization
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Legal Business Name | BARBERTON CITIZENS HOSPITAL
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 28 CONSERVATORY DRIVE SUITE A
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City | BARBERTON
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State | OH
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Zip | 44213
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Country | US
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Telephone | 330-615-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 363 HIGHLAND AVENUE
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City | WADSWORTH
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State | OH
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Zip | 44281
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Country | US
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Telephone | 330-336-0182
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Fax |
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Authorized Official
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Title or Position | CERTIFIED ATHLETIC TRAINER
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Name | MRS. JUSTINE MICHELLE CARLSON
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Credential | A.T.C.
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Telephone | 330-615-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 000997
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License Number State | OH
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