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General NPI Number Information
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NPI Number | 1649718321
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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 | 02/02/2017
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 15345 BAGLEY RD
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-4825
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Country | US
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Telephone | 440-743-8400
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Fax | 440-743-8401
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0782AS
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License Number State | OH
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