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General NPI Number Information
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NPI Number | 1811998206
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Entity Type | Organization
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Legal Business Name | MAPLE KNOLL COMMUNITIES INC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 10/31/2008
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Provider Practice Location Address
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Address Line | 6727 CONTRERAS RD
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City | OXFORD
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State | OH
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Zip | 45056-8769
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Country | US
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Telephone | 513-524-7990
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Fax | 513-524-7769
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Provider Business Mailing Address
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Address Line | 11100 SPRINGFIELD PIKE
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City | CINCINNATI
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State | OH
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Zip | 45246-4112
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Country | US
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Telephone | 513-782-2400
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Fax | 513-771-0175
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Authorized Official
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Title or Position | BUSINESS OFFICE COMPTROLLER
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Name | NANCY HENDRICKS
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Credential |
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Telephone | 513-782-2737
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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 | 2394N
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License Number State | OH
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