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General NPI Number Information
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NPI Number | 1508088923
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Entity Type | Organization
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Legal Business Name | SPIRES RESIDENTIAL SERVICES
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2810 GLENDALE AVE
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City | TOLEDO
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State | OH
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Zip | 43614-2505
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Country | US
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Telephone | 419-382-0940
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Fax | 419-380-8514
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Provider Business Mailing Address
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Address Line | 2810 GLENDALE AVE
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City | TOLEDO
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State | OH
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Zip | 43614-2505
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Country | US
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Telephone | 419-382-0940
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Fax | 419-380-8514
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Authorized Official
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Title or Position | CEO
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Name | MS. LAURIE A SPIRES
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Credential |
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Telephone | 419-382-0940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4802762
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License Number State | OH
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