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General NPI Number Information
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NPI Number | 1447234380
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Entity Type | Organization
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Legal Business Name | HEALTHCARE VENTURES OF OHIO LLC
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 1301 MYERS RD
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City | CELINA
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State | OH
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Zip | 45822-4114
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Country | US
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Telephone | 419-584-0100
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Fax | 419-584-0886
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Provider Business Mailing Address
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Address Line | 1301 MYERS RD
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City | CELINA
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State | OH
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Zip | 45822-4114
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Country | US
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Telephone | 419-584-0100
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Fax | 419-584-0886
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Authorized Official
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Title or Position | CFO
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Name | MR. RICHARD DIBLE
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Credential | CPA
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Telephone | 614-459-2482
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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 | 2348R
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2348N
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License Number State | OH
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