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General NPI Number Information
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NPI Number | 1497980544
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Entity Type | Organization
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Legal Business Name | GILEAD HEALTH SERVICES
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 2239 VOLNEY RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-1472
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Country | US
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Telephone | 330-774-7193
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Fax |
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Provider Business Mailing Address
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Address Line | 2239 VOLNEY RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-1472
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Country | US
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Telephone | 330-774-7193
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. YVETTE ETNA THORNTON
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Credential | RN
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Telephone | 330-774-7193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN245640
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RN254640
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License Number State | OH
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