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General NPI Number Information
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NPI Number | 1740284678
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Entity Type | Organization
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Legal Business Name | AMDD,INC.
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2026 STATE ROUTE 45
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City | AUSTINBURG
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State | OH
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Zip | 44010-9711
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Country | US
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Telephone | 440-275-3019
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Fax | 440-275-3366
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Provider Business Mailing Address
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Address Line | 2026 STATE ROUTE 45
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City | AUSTINBURG
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State | OH
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Zip | 44010-9711
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Country | US
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Telephone | 440-275-3019
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Fax | 440-275-3366
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Authorized Official
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Title or Position | AR MANAGER
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Name | ADAM J WHITE
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Credential | MBA
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Telephone | 614-416-2638
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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 | 5175
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License Number State | OH
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