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General NPI Number Information
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NPI Number | 1235012261
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Entity Type | Organization
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Legal Business Name | C&C SMITH HOME CARE
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3133 SHADY RUN RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-2841
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Country | US
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Telephone | 234-264-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 52 E MARION AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-1262
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Country | US
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Telephone | 234-264-9757
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CATHERINE DAWSON
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Credential |
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Telephone | 234-264-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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