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General NPI Number Information
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NPI Number | 1649477712
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Entity Type | Organization
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Legal Business Name | ALEGIANT SERVICES
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Dates
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Enumeration Date | 06/30/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1420 WALNUT CT
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City | LIMA
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State | OH
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Zip | 45805-3657
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Country | US
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Telephone | 419-999-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 WALNUT CT
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City | LIMA
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State | OH
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Zip | 45805-3657
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Country | US
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Telephone | 419-999-5688
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Fax |
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Authorized Official
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Title or Position | COTA
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Name | MS. MARIANNE NMI MCGAHEY
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Credential | COTA
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Telephone | 419-999-5688
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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 | OTA 3169
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License Number State | OH
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