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General NPI Number Information
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NPI Number | 1538713292
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Entity Type | Organization
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Legal Business Name | INSPIRIT STREETSBORO OPERATOR LLC
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 9975 GREENTREE PKWY
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City | STREETSBORO
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State | OH
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Zip | 44241-4328
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Country | US
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Telephone | 330-342-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 WESTPARK DR STE 495
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City | MC LEAN
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State | VA
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Zip | 22102-3100
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Country | US
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Telephone | 703-815-5800
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | HESSAM ZARRABINIA
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Credential |
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Telephone | 703-815-5800
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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 |
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License Number State |
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