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General NPI Number Information
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NPI Number | 1457351959
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Entity Type | Organization
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Legal Business Name | L & L VILLA ROYALE
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 1852 SINCLAIR AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43953-3328
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Country | US
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Telephone | 740-264-7101
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Fax | 740-266-3164
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Provider Business Mailing Address
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Address Line | 1852 SINCLAIR AVE
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City | STEUBENVILLE
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State | OH
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Zip | 43953-3328
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Country | US
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Telephone | 740-264-7101
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Fax | 740-266-3164
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GUIRINO G LANCIA
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Credential | OWNER
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Telephone | 740-264-7101
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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 | 2670
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License Number State | OH
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