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General NPI Number Information
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NPI Number | 1396994885
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Entity Type | Organization
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Legal Business Name | CONNEAUT VALLEY HEALTH CENTER INC.
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 747 TERRACE ST
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City | MEADVILLE
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State | PA
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Zip | 16335-1737
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Country | US
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Telephone | 814-373-2976
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Fax | 814-333-7071
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Provider Business Mailing Address
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Address Line | 906 WASHINGTON ST PO BOX E
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City | CONNEAUTVILLE
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State | PA
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Zip | 16406-7138
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Country | US
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Telephone | 814-373-2276
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Fax | 814-587-2918
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. MICHAEL C DOWNING
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Credential | FACHE
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Telephone | 814-373-2449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015852
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License Number State | PA
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