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General NPI Number Information
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NPI Number | 1912672056
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Entity Type | Organization
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Legal Business Name | AMINA'S ALTERNATIVES FOR GIRLS
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 611 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-1037
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Country | US
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Telephone | 614-747-8857
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Fax |
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Provider Business Mailing Address
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Address Line | 611 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-1037
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT DIRECTOR
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Name | JIQUALA RUSHTON
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Credential |
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Telephone | 614-747-8857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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