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General NPI Number Information
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NPI Number | 1194531558
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Entity Type | Organization
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Legal Business Name | CARECORE AT NORWALK LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 66 NORWOOD AVE
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City | NORWALK
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State | OH
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Zip | 44857-2337
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Country | US
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Telephone | 419-668-8258
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Fax |
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Provider Business Mailing Address
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Address Line | 66 NORWOOD AVE
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City | NORWALK
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State | OH
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Zip | 44857-2337
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Country | US
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Telephone | 419-668-8258
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Fax |
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Authorized Official
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Title or Position | VP OF HR
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Name | EITAN LAGHAIE
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Credential |
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Telephone | 419-668-8258
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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 |
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License Number State |
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