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General NPI Number Information
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NPI Number | 1336114404
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Entity Type | Organization
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Legal Business Name | HEARTH & CARE OF GREENFIELD LLC
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 238 S WASHINGTON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1467
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Country | US
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Telephone | 937-981-3349
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Fax | 937-981-2859
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Provider Business Mailing Address
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Address Line | 238 S WASHINGTON ST
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City | GREENFIELD
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State | OH
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Zip | 45123-1467
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Country | US
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Telephone | 937-981-3349
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Fax | 937-981-2859
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Authorized Official
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Title or Position | COO
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Name | DAVID RUBENSTEIN
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Credential |
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Telephone | 678-869-5116
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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 | 2104912
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License Number State | OH
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