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General NPI Number Information
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NPI Number | 1841241825
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Entity Type | Organization
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Legal Business Name | BARBERTON HEALTH SYSTEM, LLC
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 155 5TH ST NE
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City | BARBERTON
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State | OH
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Zip | 44203-3332
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Country | US
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Telephone | 330-745-1611
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Fax | 330-848-7820
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Provider Business Mailing Address
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Address Line | PO BOX 714139
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City | COLUMBUS
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State | OH
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Zip | 43271-4139
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Country | US
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Telephone | 330-745-1611
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Fax | 330-848-7820
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Authorized Official
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Title or Position | DIRECTOR, BUSINESS OFFICE SERVICES
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Name | LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1279
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License Number State | OH
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