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General NPI Number Information
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NPI Number | 1245239862
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Entity Type | Organization
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Legal Business Name | MACINTOSH COMPANY
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 3929 HOOVER RD
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City | GROVE CITY
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State | OH
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Zip | 43123-2853
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Country | US
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Telephone | 614-875-7700
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Fax | 614-875-1321
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Provider Business Mailing Address
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Address Line | 3863 TRUEMAN CT
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City | HILLIARD
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State | OH
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Zip | 43026-2496
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Country | US
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Telephone | 614-345-9500
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Fax | 614-345-6810
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Authorized Official
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Title or Position | CFO
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Name | CURT ANDERSON
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Credential |
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Telephone | 614-345-9526
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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 | 4576
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License Number State | OH
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