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General NPI Number Information
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NPI Number | 1912705757
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Entity Type | Organization
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Legal Business Name | ORION AUSTINBURG LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2026 STATE ROUTE 45
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City | AUSTINBURG
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State | OH
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Zip | 44010-9711
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Country | US
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Telephone | 440-275-3019
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Fax |
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Provider Business Mailing Address
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Address Line | 2026 STATE ROUTE 45
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City | AUSTINBURG
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State | OH
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Zip | 44010-9711
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Country | US
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Telephone | 440-275-3019
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | JENNIFER DAVIS
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Credential |
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Telephone | 502-552-4873
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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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