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General NPI Number Information
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NPI Number | 1174082390
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Entity Type | Organization
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Legal Business Name | SYMETRIA HEALTH OF OHIO, L.L.C.
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 4015 MEDINA RD STE 50
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City | MEDINA
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State | OH
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Zip | 44256-5970
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Country | US
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Telephone | 888-782-6966
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Fax | 630-870-1284
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Provider Business Mailing Address
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Address Line | 40 SHUMAN BLVD SUITE 262
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City | NAPERVILLE
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State | IL
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Zip | 60563
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Country | US
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Telephone | 888-782-6966
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Fax | 630-818-7866
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | CHRIS HASSAN
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Credential |
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Telephone | 888-782-6966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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