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General NPI Number Information
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NPI Number | 1265423727
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Entity Type | Organization
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Legal Business Name | ZANDEX HEALTH CARE CORP
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 267 NORTH MAIN STREET
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City | JOHNSTOWN
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State | OH
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Zip | 43031
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Country | US
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Telephone | 740-967-7896
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Fax | 740-927-6463
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Provider Business Mailing Address
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Address Line | PO BOX 730 1122 TAYLOR STREET
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City | ZANESVILLE
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State | OH
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Zip | 43702-0730
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Country | US
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Telephone | 740-454-1400
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Fax | 740-454-7439
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Authorized Official
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Title or Position | VP CFO
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Name | MR. LYLE W CLARK
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Credential | CFO
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Telephone | 740-588-2154
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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 | 4630
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0355N
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License Number State | OH
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