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General NPI Number Information
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NPI Number | 1568136158
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Entity Type | Organization
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Legal Business Name | MAHONING COUNTY COMMUNITY CORRECTIONS ASSOCIATION, INC.
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 1771 MARKET ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-1135
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Country | US
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Telephone | 330-744-5143
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Fax | 330-742-8661
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Provider Business Mailing Address
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Address Line | 1507 MARKET ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-1127
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Country | US
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Telephone | 330-744-5143
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Fax | 330-742-8661
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Authorized Official
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Title or Position | CFO
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Name | ANGELA NEELY
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Credential |
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Telephone | 330-744-5143
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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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