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General NPI Number Information
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NPI Number | 1932007036
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Entity Type | Organization
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Legal Business Name | THE LODGE REHABILITATION & HEALTHCARE CENTER LLC
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 9370 UNION CEMETERY RD
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City | LOVELAND
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State | OH
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Zip | 45140-9577
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Country | US
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Telephone | 513-677-4900
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Fax | 513-677-4905
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Provider Business Mailing Address
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Address Line | 229 ROUTE 70 STE 100
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City | TOMS RIVER
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State | NJ
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Zip | 08755-1026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICARE AUTHORIZED OFFICIAL
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Name | KEVIN DAUBENMIRE
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Credential |
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Telephone | 847-555-0110
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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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