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General NPI Number Information
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NPI Number | 1558839167
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Entity Type | Organization
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Legal Business Name | ALS WOODSTOCK LLC
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1649 PARK RD
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City | WOODSTOCK
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State | OH
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Zip | 43084-9713
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Country | US
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Telephone | 937-826-3351
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Fax |
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Provider Business Mailing Address
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Address Line | 5910 LANDERBROOK DR STE 150
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-6506
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Country | US
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Telephone | 740-415-1138
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Fax | 201-661-2846
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Authorized Official
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Title or Position | COO
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Name | JEFFREY BENJAMIN DEGYANSKY
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Credential |
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Telephone | 216-752-5600
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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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