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General NPI Number Information
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NPI Number | 1760478952
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Entity Type | Organization
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Legal Business Name | OHIO LIVING COMMUNITIES
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 3003 CISCO RD
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City | SIDNEY
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State | OH
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Zip | 45365-9343
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Country | US
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Telephone | 937-498-2391
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Fax | 937-498-7577
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Provider Business Mailing Address
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Address Line | 9200 WORTHINGTON RD STE 300
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City | WESTERVILLE
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State | OH
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Zip | 43082-7240
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Country | US
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Telephone | 614-888-7800
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Fax | 614-888-6864
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Authorized Official
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Title or Position | CEO
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Name | LAURENCE C GUMINA
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Credential |
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Telephone | 614-888-7800
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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 | 1592N
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License Number State | OH
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