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General NPI Number Information
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NPI Number | 1376534610
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Entity Type | Organization
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Legal Business Name | MILAN SKILLED NURSING, LLC
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 185 S MAIN ST
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City | MILAN
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State | OH
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Zip | 44846-9765
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Country | US
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Telephone | 419-499-2576
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Fax | 419-499-4577
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Provider Business Mailing Address
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Address Line | 2875 CENTER RD STE 6
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City | BRUNSWICK
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State | OH
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Zip | 44212-2319
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Country | US
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Telephone | 216-772-1105
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. BENJAMIN J PARSONS
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Credential |
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Telephone | 216-772-1105
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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 | 5359
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License Number State | OH
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