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General NPI Number Information
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NPI Number | 1588900260
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Entity Type | Organization
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Legal Business Name | LIVING OPPORTUNITIES INC.
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 2243 CAMBRIAN WAY
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City | MADISON
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State | OH
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Zip | 44057-2409
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Country | US
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Telephone | 440-466-1678
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271
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City | GENEVA
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State | OH
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Zip | 44041-0271
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Country | US
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Telephone | 440-466-1678
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Fax |
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Authorized Official
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Title or Position | ADMIISTRATOR
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Name | MR. WILLIAM B. AUSTIN
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Credential | LNHA
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Telephone | 440-466-1678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 28268
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License Number State | OH
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