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General NPI Number Information
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NPI Number | 1588645667
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Entity Type | Organization
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Legal Business Name | MIDLAND LEASING CO., LLC
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 225 W MAIN ST
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City | SHELBY
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State | OH
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Zip | 44875-1412
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Country | US
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Telephone | 419-347-1266
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Fax | 419-342-7035
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Provider Business Mailing Address
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Address Line | 10123 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4887
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Country | US
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Telephone | 513-530-1808
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Fax |
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Authorized Official
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Title or Position | SECRETARY / TREASURER
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Name | CHARLES R STOLTZ
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Credential |
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Telephone | 513-530-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 1491
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License Number State | OH
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