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NPI Code Detail

MEDICARE: RUTH FAZIO

MEDICARE: RUTH FAZIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1417806191
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH FAZIO
Provider Business Mailing Address
First Line : 401 N EWING ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3371
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 N EWING ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3371
Country : US
Telephone Number : 330-415-0134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ RUTH FAZIO ” Practice Location

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