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General NPI Number Information
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NPI Number | 1912265620
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Entity Type | Organization
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Legal Business Name | ATRIUM RETIREMENT CENTERS LLC
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 35755 DETROIT RD
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City | AVON
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State | OH
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Zip | 44011-1689
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Country | US
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Telephone | 614-416-2638
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Fax |
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Provider Business Mailing Address
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Address Line | 2 EASTON OVAL SUITE 210
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City | COLUMBUS
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State | OH
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Zip | 43219-6036
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Country | US
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Telephone | 614-416-2638
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Fax |
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Authorized Official
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Title or Position | AR MANAGER
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Name | MR. ADAM J WHITE
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Credential |
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Telephone | 614-416-2638
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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 |
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License Number State |
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