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General NPI Number Information
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NPI Number | 1295036762
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Entity Type | Organization
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Legal Business Name | SUMMA HEALTH SYSTEM
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 3730 WHIPPLE AVE NW SUITE # 500
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City | CANTON
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State | OH
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Zip | 44718-4803
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Country | US
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Telephone | 330-491-9215
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Fax | 330-491-9724
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Provider Business Mailing Address
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Address Line | 3730 WHIPPLE AVE NW SUITE # 500
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City | CANTON
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State | OH
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Zip | 44718-4803
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Country | US
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Telephone | 330-491-9215
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Fax | 330-491-9724
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. THOMAS P O'NEILL
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Credential |
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Telephone | 330-996-8460
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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 | 305558
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License Number State | OH
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