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General NPI Number Information
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NPI Number | 1396544342
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Entity Type | Organization
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Legal Business Name | MIDDLEBURG-LEGACY PLACE, LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 7040 HEPBURN RD
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-4802
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Country | US
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Telephone | 440-260-7626
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Fax | 216-898-8455
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Provider Business Mailing Address
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Address Line | 7040 HEPBURN RD
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-4802
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Country | US
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Telephone | 440-260-7626
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Fax | 216-898-8455
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Authorized Official
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Title or Position | CEO
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Name | JAMES J TAYLOR
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Credential |
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Telephone | 440-590-0969
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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 |
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