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General NPI Number Information
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NPI Number | 1326865601
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Entity Type | Organization
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Legal Business Name | FHS BENNINGTON, INC.
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 825 STATE ROUTE 61
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City | MARENGO
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State | OH
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Zip | 43334-9215
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Country | US
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Telephone | 440-793-2245
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Fax | 440-614-0168
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Provider Business Mailing Address
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Address Line | 825 STATE ROUTE 61
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City | MARENGO
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State | OH
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Zip | 43334-9215
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Country | US
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Telephone | 440-793-2245
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Fax | 440-614-0168
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Authorized Official
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Title or Position | VP OF GOVERNMENT AFFAIRS
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Name | SANDY MUIR
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Credential |
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Telephone | 440-793-2245
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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 |
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License Number State |
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