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General NPI Number Information
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NPI Number | 1881326361
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Entity Type | Organization
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Legal Business Name | ALPINE HOUSE OF FREMONT, INC.
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 916 NORTH ST
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City | FREMONT
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State | OH
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Zip | 43420-1154
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Country | US
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Telephone | 419-472-5350
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Fax | 866-384-6873
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Provider Business Mailing Address
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Address Line | 1440 S BYRNE RD
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City | TOLEDO
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State | OH
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Zip | 43614-2363
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Country | US
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Telephone | 419-472-5350
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSEPH K. WELLS
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Credential | OTD, OTR/L
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Telephone | 419-472-5350
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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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