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General NPI Number Information
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NPI Number | 1306220348
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Entity Type | Organization
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Legal Business Name | SPRINGVALE HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 201 HOSPITAL DR
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City | DOVER
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State | OH
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Zip | 44622-2058
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Country | US
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Telephone | 330-343-6631
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Fax |
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Provider Business Mailing Address
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Address Line | 201 HOSPITAL DR
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City | DOVER
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State | OH
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Zip | 44622-2058
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Country | US
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Telephone | 330-343-6631
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOSEPH J BOROSKI
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Credential |
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Telephone | 330-343-6631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | RN-406535
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License Number State | OH
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