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General NPI Number Information
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NPI Number | 1366487050
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH YOUNGSTOWN LLC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 667 EASTLAND AVE SE
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City | WARREN
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State | OH
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Zip | 44484-4503
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Country | US
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Telephone | 330-841-4000
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Fax | 330-884-7107
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Provider Business Mailing Address
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Address Line | 1044 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1006
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Country | US
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Telephone | 330-884-7055
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Fax | 330-884-7131
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Authorized Official
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Title or Position | SR. VP AND CFO
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Name | MR. R. ANDREW BROTHERS
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Credential |
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Telephone | 330-884-7055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | OH
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