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General NPI Number Information
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NPI Number | 1669569851
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Entity Type | Organization
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Legal Business Name | IHS ACQUISITION NO. 150, INC.
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 911 S 3RD ST
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City | NILES
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State | MI
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Zip | 49120-3414
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Country | US
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Telephone | 616-684-4320
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Fax | 616-684-6744
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Provider Business Mailing Address
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Address Line | 930 RIDGEBROOK RD
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City | SPARKS
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State | MD
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Zip | 21152-9390
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Country | US
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Telephone | 410-773-1000
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KENNETH TABLER
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Credential |
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Telephone | 410-773-1000
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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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