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General NPI Number Information
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NPI Number | 1255226262
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Entity Type | Organization
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Legal Business Name | LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 10977 CAPITAL PKWY
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City | CONCORD TWP
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State | OH
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Zip | 44077-9394
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Country | US
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Telephone | 440-953-6251
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 WARRENSVILLE CENTER RD
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City | SHAKER HTS
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State | OH
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Zip | 44122-5203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCIAL PLANNING
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Name | ANTHONY SCHILLERO
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Credential |
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Telephone | 216-767-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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