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General NPI Number Information
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NPI Number | 1538072111
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Entity Type | Organization
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Legal Business Name | SYCAMORE RUN LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 6180 STATE ROUTE 83
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City | MILLERSBURG
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State | OH
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Zip | 44654-9463
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Country | US
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Telephone | 330-674-0015
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Fax |
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Provider Business Mailing Address
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Address Line | 6180 STATE ROUTE 83
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City | MILLERSBURG
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State | OH
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Zip | 44654-9463
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | BRANDI KRAFT
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Credential |
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Telephone | 330-674-0015
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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 |
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License Number State |
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