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General NPI Number Information
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NPI Number | 1881574424
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Entity Type | Organization
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Legal Business Name | FSR OF PARKMAN LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2507 YOUNGSTOWN RD SE STE A
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City | WARREN
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State | OH
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Zip | 44484-4402
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Country | US
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Telephone | 330-369-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 2507 YOUNGSTOWN RD SE STE A
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City | WARREN
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State | OH
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Zip | 44484-4402
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Country | US
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Telephone | 330-369-8022
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE DIRECTOR
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Name | ELIZABETH MERRITT
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Credential |
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Telephone | 330-369-8022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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