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NPI 1508368283

NPI 1508368283 : SOUTHWEST GENERAL HEALTH CENTER : NORTH ROYALTON, OH

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General NPI Number Information
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    NPI Number           |    1508368283
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUTHWEST GENERAL HEALTH CENTER 
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Dates
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    Enumeration Date     |    03/08/2018
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    Last Update Date     |    03/14/2025
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Provider Practice Location Address
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    Address Line         |    5340 ROYALTON RD 
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    City                 |    NORTH ROYALTON
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    State                |    OH
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    Zip                  |    44133-4008
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    Country              |    US
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    Telephone            |    440-230-1133
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18697 BAGLEY RD 
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    City                 |    MIDDLEBURG HEIGHTS
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    State                |    OH
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    Zip                  |    44130-3417
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    Country              |    US
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    Telephone            |    440-816-8000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     WILLIAM  YOUNG JR.
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    Credential           |    
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    Telephone            |    440-816-6701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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