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General NPI Number Information
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NPI Number | 1265780746
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Entity Type | Organization
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Legal Business Name | OHIO NORTH EAST HEALTH SYSTEMS INC
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1821 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6627
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Country | US
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Telephone | 330-392-7000
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Fax | 330-884-6120
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Provider Business Mailing Address
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Address Line | 726 WICK AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2827
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Country | US
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Telephone | 330-747-9551
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Fax | 330-884-6120
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Authorized Official
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Title or Position | CEO
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Name | DR. RONALD DWINNELLS
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Credential | MD
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Telephone | 330-747-9551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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 #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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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Taxonomy #8
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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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Taxonomy #9
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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