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General NPI Number Information
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NPI Number | 1861770216
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Entity Type | Organization
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Legal Business Name | MARGARET KROB
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 37523 JORDAN DR
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City | WILLOUGHBY
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State | OH
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Zip | 44094-5913
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Country | US
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Telephone | 216-402-6344
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Fax |
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Provider Business Mailing Address
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Address Line | 37523 JORDAN DR
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City | WILLOUGHBY
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State | OH
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Zip | 44094-5913
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Country | US
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Telephone | 216-402-6344
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Fax |
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Authorized Official
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Title or Position | RN RT RCP
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Name | MS. MARGARET LISA KROB
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Credential | RN RRT RCP
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Telephone | 216-402-6344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7800
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 314507
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 314507
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License Number State | OH
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