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General NPI Number Information
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NPI Number | 1316935265
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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 | 10/13/2005
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 716 TOD AVE SW
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City | WARREN
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State | OH
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Zip | 44485-3608
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Country | US
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Telephone | 330-373-0222
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Fax | 330-393-3764
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Provider Business Mailing Address
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Address Line | 716 TOD AVE SW
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City | WARREN
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State | OH
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Zip | 44485-3608
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Country | US
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Telephone | 330-373-0222
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Fax | 330-393-3764
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Authorized Official
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Title or Position | CEO
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Name | MR. RONALD DWINWELLS
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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 | 101YM0800X
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Taxonomy Name | Mental Health 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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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Taxonomy #4
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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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Taxonomy #5
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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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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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Taxonomy #8
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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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Taxonomy #9
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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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Taxonomy #10
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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