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General NPI Number Information
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NPI Number | 1265842850
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Entity Type | Organization
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Legal Business Name | LMOP LLC
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 599 S SHAWNEE ST
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City | LIMA
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State | OH
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Zip | 45804-1461
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Country | US
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Telephone | 419-227-2154
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Fax | 419-224-4177
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Provider Business Mailing Address
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Address Line | 599 S SHAWNEE ST
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City | LIMA
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State | OH
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Zip | 45804-1461
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Country | US
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Telephone | 419-227-2154
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Fax | 419-224-4177
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Authorized Official
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Title or Position | ATTORNEY
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Name | HAYLEY B WILLIAMS
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Credential |
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Telephone | 216-706-3936
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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 | 1351N
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License Number State | OH
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