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General NPI Number Information
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NPI Number | 1750822029
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Entity Type | Organization
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Legal Business Name | THIRTY SIX LEASING CO., LLC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 2675 36TH ST
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City | PARKERSBURG
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State | WV
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Zip | 26104-8024
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Country | US
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Telephone | 304-485-7447
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Fax | 304-485-9344
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Provider Business Mailing Address
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Address Line | 10123 ALLIANCE RD
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City | BLUE ASH
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State | OH
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Zip | 45242-4887
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Country | US
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Telephone | 513-530-1808
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Fax |
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Authorized Official
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Title or Position | SECRETARY / TREASURER
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Name | CHARLES STOLTZ
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Credential |
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Telephone | 513-530-1808
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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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