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General NPI Number Information
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NPI Number | 1376087908
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Entity Type | Organization
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Legal Business Name | THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF WOOSTER, OHIO
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 12/16/2016
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Provider Practice Location Address
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Address Line | 680 WOODLAND AVE
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City | WOOSTER
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State | OH
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Zip | 44691-2743
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Country | US
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Telephone | 330-264-3131
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Fax | 330-262-7227
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Provider Business Mailing Address
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Address Line | 680 WOODLAND AVE
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City | WOOSTER
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State | OH
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Zip | 44691-2743
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Country | US
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Telephone | 330-264-3131
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Fax | 330-262-7227
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GWEN SOMMER
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Credential |
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Telephone | 330-264-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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