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General NPI Number Information
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NPI Number | 1154749950
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Entity Type | Organization
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Legal Business Name | ADO HEALTH SERVICES INC.
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 1025 BOARDMAN CANFIELD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4227
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Country | US
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Telephone | 330-629-2434
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Fax | 330-629-2199
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Provider Business Mailing Address
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Address Line | 1011 BOARDMAN CANFIELD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-4226
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Country | US
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Telephone | 330-629-2888
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Fax | 330-629-8940
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MS. NICOLE KENDRA TOWNSEND
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Credential | CCS
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Telephone | 330-629-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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