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General NPI Number Information
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NPI Number | 1053799783
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Entity Type | Organization
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Legal Business Name | TOWARD INDEPENDENCE INC.
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 5021 OAKLAWN DR
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City | CINCINNATI
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State | OH
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Zip | 45227-1433
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Country | US
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Telephone | 937-376-3996
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Fax |
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Provider Business Mailing Address
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Address Line | 81 E MAIN ST
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City | XENIA
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State | OH
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Zip | 45385-3201
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Country | US
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Telephone | 937-376-3996
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MARK J SCHLATER
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Credential |
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Telephone | 937-376-3996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 3113375
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License Number State | OH
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