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General NPI Number Information
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NPI Number | 1427907237
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Entity Type | Organization
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Legal Business Name | FOUR CORNERS HEALTH CARE, LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 7535 FREDLE DR
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-9406
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Country | US
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Telephone | 440-253-0456
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Fax |
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Provider Business Mailing Address
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Address Line | 7554 FREDLE DR # 3111
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-9406
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Country | US
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Telephone | 440-253-0456
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, OPERATOR, NP
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Name | DR. MARGARET ELLEN HENNING
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Credential | DNP, FNP-C
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Telephone | 440-253-0456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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