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General NPI Number Information
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NPI Number | 1043129661
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Entity Type | Organization
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Legal Business Name | HARVEST GROVE LTC LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | PO BOX 85096
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City | CHICAGO
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State | IL
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Zip | 60689-5096
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Country | US
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Telephone | 877-791-6772
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Fax |
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Provider Business Mailing Address
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Address Line | 1113 MEDINA RD STE 700
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City | MEDINA
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State | OH
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Zip | 44256-9335
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Country | US
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Telephone | 888-322-6216
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Fax | 800-258-9178
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Authorized Official
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Title or Position | SECRETARY
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Name | ALLISON BROWN
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Credential |
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Telephone | 502-630-7429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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