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NPI 1659828804

NPI 1659828804 : THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF AKRON, OHIO : AKRON, OH

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General NPI Number Information
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    NPI Number           |    1659828804
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF AKRON, OHIO 
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Dates
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    Enumeration Date     |    09/06/2016
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    Last Update Date     |    09/06/2016
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Provider Practice Location Address
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    Address Line         |    477 E MARKET ST 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44304-1520
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    Country              |    US
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    Telephone            |    330-434-9622
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    Fax                  |    330-434-7003
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Provider Business Mailing Address
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    Address Line         |    50 S MAIN ST SUITE LL100
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44308-1828
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    Country              |    US
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    Telephone            |    330-376-1335
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    Fax                  |    330-376-0630
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Authorized Official
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    Title or Position    |    PRESIDENT/CHIEF EXECUTIVE OFFICER
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    Name                 |     JILL  KOLESAR 
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    Credential           |    
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    Telephone            |    330-376-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174H00000X
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    Taxonomy Name        |    Health Educator
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    License Number       |    
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    License Number State |    
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