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General NPI Number Information
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NPI Number | 1801694435
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Entity Type | Organization
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Legal Business Name | OTTERBEIN NORTH OLMSTED LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 30344 LORAIN RD
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3994
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Country | US
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Telephone | 440-777-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 3855 LOWER MARKET ST
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City | LEBANON
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State | OH
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Zip | 45036-7653
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AVP OF FINANCE
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Name | AMBER SWORDS
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Credential |
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Telephone | 937-508-1693
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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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