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General NPI Number Information
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NPI Number | 1912869215
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Entity Type | Organization
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Legal Business Name | SILVER BIRCH OF BEDFORD HEIGHTS LLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 24781 COLUMBUS ROAD
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146
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Country | US
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Telephone | 312-560-0837
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Fax |
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Provider Business Mailing Address
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Address Line | 151 N FRANKLIN ST STE 300
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City | CHICAGO
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State | IL
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Zip | 60606-1937
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Country | US
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Telephone | 312-560-0837
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Fax |
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Authorized Official
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Title or Position | VICE CHAIRMAN
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Name | MR. MARK JOSEPH LAUBACHER
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Credential |
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Telephone | 312-560-0837
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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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