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General NPI Number Information
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NPI Number | 1942533260
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Entity Type | Organization
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Legal Business Name | PIGEON RUN, LLC
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 721 HICKORY ST
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City | AKRON
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State | OH
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Zip | 44303-2213
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Country | US
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Telephone | 330-762-6486
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Fax | 330-762-1862
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Provider Business Mailing Address
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Address Line | 3750 PIGEON RUN RD SW
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City | MASSILLON
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State | OH
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Zip | 44647-9756
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Country | US
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Telephone | 330-704-1770
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Fax | 330-762-1862
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. KIM COLERIDGE
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Credential |
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Telephone | 330-704-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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