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General NPI Number Information
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NPI Number | 1457312886
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Entity Type | Organization
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Legal Business Name | FIRELANDS REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 12/02/2013
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Provider Practice Location Address
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Address Line | 1111 HAYES AVE
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City | SANDUSKY
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State | OH
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Zip | 44870-3323
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Country | US
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Telephone | 419-557-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 HAYES AVE
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City | SANDUSKY
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State | OH
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Zip | 44870-3323
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Country | US
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Telephone | 419-557-7400
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT & CFO
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Name | MR. DANIEL J MONCHER
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Credential |
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Telephone | 419-557-7793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 1165
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License Number State | OH
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