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General NPI Number Information
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NPI Number | 1841309911
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Entity Type | Organization
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Legal Business Name | AMBERWOOD RESIDENCE
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 716 COMMERCIAL AVE.
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City | NEW PHILIDADELPHIA
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State | OH
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Zip | 44663
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Country | US
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Telephone | 330-308-8833
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Fax | 330-308-8283
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Provider Business Mailing Address
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Address Line | 716 COMMERCIAL AVE.
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City | NEW PHILIDADELPHIA
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State | OH
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Zip | 44663
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Country | US
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Telephone | 330-308-8833
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Fax | 330-308-8283
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Authorized Official
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Title or Position | ITS VP
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Name | WILLIAM I WEISBERG
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Credential |
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Telephone | 216-292-5706
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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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