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General NPI Number Information
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NPI Number | 1841262466
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Entity Type | Organization
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Legal Business Name | MAJORA LANE CENTER FOR REHABILITATION & NURSING CARE, INC.
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 105 MAJORA LN
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City | MILLERSBURG
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State | OH
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Zip | 44654-8955
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Country | US
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Telephone | 330-674-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 339 E MAPLE ST SUITE 100
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City | NORTH CANTON
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State | OH
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Zip | 44720-2593
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Country | US
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Telephone | 330-498-8101
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Fax | 330-498-8108
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Authorized Official
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Title or Position | VP FINANCE/CONTROLLER
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Name | MISS KATHLEEN R JOHNSON
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Credential |
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Telephone | 330-498-5233
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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 | 6098
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License Number State | OH
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