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General NPI Number Information
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NPI Number | 1851570709
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Entity Type | Organization
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Legal Business Name | LENEHAN HEART HEALTHCARE, INC
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 1221 S TRIMBLE RD BLDG C-3
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City | MANSFIELD
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State | OH
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Zip | 44907-2211
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Country | US
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Telephone | 419-774-1000
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Fax | 419-774-1001
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Provider Business Mailing Address
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Address Line | 1221 S TRIMBLE RD BLDG C-3
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City | MANSFIELD
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State | OH
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Zip | 44907
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Country | US
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Telephone | 419-774-1000
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Fax | 419-774-1001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN P LENEHAN
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Credential | MD, FACC
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Telephone | 419-774-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 49759
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License Number State | OH
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