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General NPI Number Information
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NPI Number | 1598368086
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Entity Type | Organization
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Legal Business Name | IRON AND STRING LIFE ENHANCEMENT INC
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 32 5TH AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44503-1120
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Country | US
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Telephone | 330-742-3444
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Fax | 330-743-3363
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Provider Business Mailing Address
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Address Line | 32 5TH AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44503-1120
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Country | US
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Telephone | 330-742-3444
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Fax | 330-743-3363
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | MR. JAMES FRANCIS SUTMAN
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Credential |
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Telephone | 330-207-2628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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