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General NPI Number Information
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NPI Number | 1780549121
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Entity Type | Organization
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Legal Business Name | FOUNDATION HEALTH DPC, LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1296 RIDGE RD UNIT B
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City | HINCKLEY
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State | OH
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Zip | 44233-9258
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Country | US
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Telephone | 330-952-4960
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Fax | 330-615-7735
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Provider Business Mailing Address
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Address Line | 1705 MEADOW DR
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City | HINCKLEY
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State | OH
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Zip | 44233-9524
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Country | US
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Telephone | 330-952-4960
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Fax | 330-615-7735
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIEL MANCINI
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Credential | DO
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Telephone | 330-952-4960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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