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General NPI Number Information
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NPI Number | 1740770197
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Entity Type | Organization
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Legal Business Name | SOCIAL ROW TRANSITIONAL CARE, INC.
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 250 WEST SOCIAL ROW ROAD
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City | CENTERVILLE
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State | OH
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Zip | 45458
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Country | US
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Telephone | 937-886-8800
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Fax | 937-886-8901
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Provider Business Mailing Address
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Address Line | 17 S HIGH ST STE 770
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City | COLUMBUS
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State | OH
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Zip | 43215-3450
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Country | US
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Telephone | 614-461-1156
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Fax | 614-461-7168
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Authorized Official
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Title or Position | COUNSEL
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Name | MR. GEOFFREY EVERETT WEBSTER
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Credential | ESQ,
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Telephone | 614-461-1156
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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 | PENDING
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License Number State | OH
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