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General NPI Number Information
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NPI Number | 1538741715
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Entity Type | Organization
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Legal Business Name | DOGWOOD SERVICES LLC
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 3570 EXECUTIVE DR STE 201-A
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City | UNIONTOWN
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State | OH
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Zip | 44685-6713
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Country | US
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Telephone | 216-365-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 5912 LASATER DR NW
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City | CANTON
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State | OH
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Zip | 44718-1717
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL TOLLOTI
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Credential | LPCC
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Telephone | 216-365-8525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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