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General NPI Number Information
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NPI Number | 1154962835
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Entity Type | Organization
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Legal Business Name | SYCAMORESPRING HEALTH CARE AND REHABILITATION LLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 2164 E CENTRAL AVE
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City | MIAMISBURG
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State | OH
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Zip | 45342-3627
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Country | US
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Telephone | 513-707-1546
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Fax | 513-248-3772
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Provider Business Mailing Address
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Address Line | 390 WARDS CORNER RD
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City | LOVELAND
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State | OH
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Zip | 45140-6969
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Country | US
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Telephone | 513-707-1546
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Fax | 513-248-3772
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Authorized Official
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Title or Position | CFO
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Name | DAVID EPPERS
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Credential | CPA
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Telephone | 513-707-1537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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