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General NPI Number Information
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NPI Number | 1124735030
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Entity Type | Organization
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Legal Business Name | SILVER LININGS SUPPORTED LIVING SERVICES LLC
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 05/07/2023
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Provider Practice Location Address
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Address Line | 2336 MACK RD UNIT B
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City | FAIRFIELD
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State | OH
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Zip | 45014-3169
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Country | US
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Telephone | 513-354-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 CUMBERLAND DR
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City | FAIRFIELD TOWNSHIP
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State | OH
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Zip | 45011-2105
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Country | US
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Telephone | 513-432-2899
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHANTIA GAINES
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Credential | NP
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Telephone | 513-432-2899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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