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General NPI Number Information
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NPI Number | 1750340428
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Entity Type | Organization
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Legal Business Name | SOLAMOR HOSPICE CORPORATION
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 06/20/2012
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Provider Practice Location Address
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Address Line | 837 CROCKER RD
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City | WESTLAKE
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State | OH
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Zip | 44145-1028
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Country | US
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Telephone | 440-899-7659
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Fax | 440-899-9029
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Provider Business Mailing Address
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Address Line | 837 CROCKER RD
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City | WESTLAKE
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State | OH
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Zip | 44145-1028
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Country | US
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Telephone | 440-899-7659
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Fax | 440-899-9029
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHANNAN REZNIK
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Credential |
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Telephone | 440-899-7659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 0107HSP
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License Number State | OH
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