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NPI 1225455082

NPI 1225455082 : MERIDIAN HEALTHCARE : YOUNGSTOWN, OH

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General NPI Number Information
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    NPI Number           |    1225455082
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    Entity Type          |    Organization 
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    Legal Business Name  |    MERIDIAN HEALTHCARE 
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Dates
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    Enumeration Date     |    03/18/2014
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    527 N MERIDIAN RD 
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44509-1227
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    Country              |    US
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    Telephone            |    330-797-0070
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    Fax                  |    330-797-9146
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Provider Business Mailing Address
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    Address Line         |    527 N MERIDIAN RD 
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44509-1227
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    Country              |    US
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    Telephone            |    330-797-0070
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    Fax                  |    330-797-9146
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     DARLA  GALLAGHER 
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    Credential           |    
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    Telephone            |    330-797-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    2083A0300X
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    Taxonomy Name        |    Addiction Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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