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General NPI Number Information
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NPI Number | 1346654829
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Entity Type | Organization
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Legal Business Name | STOW-GLEN INC.
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 2950 GRAHAM RD
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City | STOW
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State | OH
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Zip | 44224-3620
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Country | US
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Telephone | 330-686-7100
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Fax | 330-686-7173
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Provider Business Mailing Address
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Address Line | 2950 GRAHAM RD
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City | STOW
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State | OH
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Zip | 44224-3620
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Country | US
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Telephone | 330-686-7100
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Fax | 330-686-7173
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Authorized Official
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Title or Position | CEO
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Name | TAMMY L DENTON
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Credential | LNHA
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Telephone | 330-686-7100
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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 | OH
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