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General NPI Number Information
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NPI Number | 1801254057
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Entity Type | Organization
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Legal Business Name | GOODWILL INDUSTRIES OF LORAIN COUNTY, INC.
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 145 KEEP CT
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City | ELYRIA
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State | OH
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Zip | 44035-2214
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Country | US
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Telephone | 440-244-3174
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Fax |
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Provider Business Mailing Address
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Address Line | 145 KEEP CT
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City | ELYRIA
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State | OH
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Zip | 44035-2214
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Country | US
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Telephone | 440-244-3174
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. STEVE GREENWELL
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Credential |
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Telephone | 440-244-3174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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