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General NPI Number Information
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NPI Number | 1861981656
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Entity Type | Organization
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Legal Business Name | OHIO LIVING PALLIATIVE CARE GREATER TOLEDO LLC
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 1730 S REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43614-1402
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Country | US
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Telephone | 419-865-1499
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Fax | 419-865-4227
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Provider Business Mailing Address
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Address Line | 9200 WORTHINGTON RD STE 300
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City | WESTERVILLE
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State | OH
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Zip | 43082-7240
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Country | US
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Telephone | 614-888-7800
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Fax | 614-888-6864
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LAURENCE C GUMINA
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Credential |
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Telephone | 614-888-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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