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General NPI Number Information
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NPI Number | 1427542745
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Entity Type | Individual
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Provider Name | OZZY CHANEY
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Gender | Male
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 800 MARKET AVE N STE 400
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City | CANTON
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State | OH
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Zip | 44702-2315
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Country | US
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Telephone | 234-226-7350
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Fax |
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Provider Business Mailing Address
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Address Line | 10608 JULIE ST NE
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City | ALLIANCE
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State | OH
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Zip | 44601-8300
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Country | US
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Telephone | 330-309-8632
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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