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General NPI Number Information
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NPI Number | 1033820535
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Entity Type | Organization
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Legal Business Name | SAVAGE SOLOMON NON- PROFIT CORP.
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 11427 REED HARTMAN HWY
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City | BLUE ASH
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State | OH
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Zip | 45241-2418
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Country | US
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Telephone | 513-822-3205
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Fax | 513-822-3204
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Provider Business Mailing Address
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Address Line | 11427 REED HARTMAN HWY
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City | BLUE ASH
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State | OH
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Zip | 45241-2418
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Country | US
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Telephone | 513-822-3205
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DIANNE STEWART SOLOMON
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Credential |
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Telephone | 513-771-1309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 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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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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