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General NPI Number Information
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NPI Number | 1639696172
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Entity Type | Organization
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Legal Business Name | DANBURY WOODS ALLIANCE
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1280 S. SAWBURG RD.
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City | ALLIANCE
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State | OH
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Zip | 44601
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Country | US
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Telephone | 330-596-1272
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Fax | 330-823-7808
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Provider Business Mailing Address
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Address Line | 1280 S SAWBURG AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-3518
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Country | US
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Telephone | 330-596-1272
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Fax | 330-823-7808
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISSY MARIE MASSARO
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Credential |
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Telephone | 330-596-1272
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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 | 2703R
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License Number State | OH
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