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General NPI Number Information
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NPI Number | 1760511307
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Entity Type | Organization
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Legal Business Name | TU II
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 175 ST FRANCIS AVENUE
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City | TIFFIN
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State | OH
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Zip | 44883
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Country | US
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Telephone | 419-443-1445
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Fax | 419-443-1506
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Provider Business Mailing Address
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Address Line | 175 ST FRANCIS AVENUE
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City | TIFFIN
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State | OH
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Zip | 44883
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Country | US
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Telephone | 419-443-1445
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Fax | 419-443-1506
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Authorized Official
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Title or Position | ADCARE HEALTH SYSTEM VICE PRESIDENT
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Name | KIMBERLE ANN HENRY
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Credential |
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Telephone | 937-964-8974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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