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General NPI Number Information
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NPI Number | 1306031844
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Entity Type | Organization
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Legal Business Name | KARRINGTON OF ENGLEWOOD LTD
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 95 W WENGER RD
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2723
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Country | US
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Telephone | 937-836-9617
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Fax | 937-836-9616
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Provider Business Mailing Address
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Address Line | 95 WEST WENGER ROAD
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City | ENGLEWOOD
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State | OH
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Zip | 45322
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Country | US
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Telephone | 937-836-9617
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Fax | 937-836-9616
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. TAMMY WICK
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Credential |
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Telephone | 937-836-9617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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