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General NPI Number Information
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NPI Number | 1942284138
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Entity Type | Organization
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Legal Business Name | CHS - MIAMI VALLEY, INC
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 208 N CASSEL RD
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City | VANDALIA
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State | OH
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Zip | 45377-2926
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Country | US
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Telephone | 937-898-4202
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Fax | 937-898-8699
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Provider Business Mailing Address
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Address Line | 782 W ORANGE RD
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City | DELAWARE
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State | OH
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Zip | 43015-8922
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Country | US
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Telephone | 330-204-1040
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Fax |
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Authorized Official
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Title or Position | VP OF GOVERNMENT AFFAIRS
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Name | SANDY MUIR
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Credential |
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Telephone | 440-793-2245
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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 | 1593-NH
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License Number State | OH
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