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General NPI Number Information
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NPI Number | 1982834263
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Entity Type | Organization
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Legal Business Name | MIDWEST HEALTH SERVICES INC.
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 5650 TR 332 STAR RTE
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City | MILLERSBURG
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State | OH
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Zip | 44654
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Country | US
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Telephone | 330-674-2281
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Fax |
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Provider Business Mailing Address
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Address Line | 11 LINCOLN WAY W STE 5A
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City | MASSILLON
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State | OH
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Zip | 44647-6585
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Country | US
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Telephone | 330-674-2281
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Fax | 330-833-7732
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSPEH KNETZER
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Credential |
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Telephone | 330-832-9582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 3810031
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License Number State | OH
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