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General NPI Number Information
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NPI Number | 1326438128
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Entity Type | Organization
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Legal Business Name | CAMBRIDGE NH LLC
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Dates
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Enumeration Date | 01/31/2015
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Last Update Date | 09/03/2015
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Provider Practice Location Address
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Address Line | 66731 OLD TWENTY ONE RD
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City | CAMBRIDGE
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State | OH
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Zip | 43725-8987
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Country | US
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Telephone | 740-432-7717
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Fax |
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Provider Business Mailing Address
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Address Line | 66731 OLD TWENTY ONE RD
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City | CAMBRIDGE
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State | OH
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Zip | 43725-8987
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Country | US
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Telephone | 740-432-7717
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT AND CFO
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Name | RONALD J SWARTZ
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Credential |
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Telephone | 813-635-9500
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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 | 2455N
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License Number State | OH
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