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General NPI Number Information
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NPI Number | 1841569902
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Entity Type | Organization
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Legal Business Name | DR GINA REGHETTI DO PC INC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | THE 110 BUILDING 110 EDWARD STREET, NW
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City | WARREN
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State | OH
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Zip | 44483-1118
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Country | US
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Telephone | 330-847-3334
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Fax | 330-847-9301
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Provider Business Mailing Address
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Address Line | THE 110 BUILDING 110 EDWARD STREET, NW
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City | WARREN
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State | OH
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Zip | 44483-1118
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Country | US
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Telephone | 330-847-3334
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Fax | 330-847-9301
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Authorized Official
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Title or Position | PHYSICIAN/SURGEON
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Name | DR. DR. GINA REGHETTI
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Credential | D.O.
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Telephone | 330-847-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 34-006816-R
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 34-006816-R
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 34-006816-R
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 34-006816-R
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 34-006816-R
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 34-006816-R
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 34-006816-R
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License Number State | OH
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