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General NPI Number Information
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NPI Number | 1427653005
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Entity Type | Organization
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Legal Business Name | MAHONEY HEALTH SERVICES, INC
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 320 LINWOOD ST # 102
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City | DAYTON
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State | OH
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Zip | 45405-4952
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Country | US
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Telephone | 614-707-6100
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Fax | 614-504-0042
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Provider Business Mailing Address
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Address Line | 2238 S HAMILTON RD STE 102B
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City | COLUMBUS
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State | OH
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Zip | 43232-4382
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Country | US
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Telephone | 614-707-6100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERNESTINA APPIAH-BOATENG
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Credential | NP
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Telephone | 614-707-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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