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General NPI Number Information
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NPI Number | 1972377562
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Entity Type | Organization
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Legal Business Name | FAMICO BI BI BI LLC
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 1740 PEARCE CIR
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City | SALEM
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State | OH
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Zip | 44460-1853
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Country | US
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Telephone | 330-429-5356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 334
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City | SALEM
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State | OH
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Zip | 44460-0334
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Country | US
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Telephone | 330-454-9031
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/PARTNER
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Name | RACHEL YOKLEY
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Credential |
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Telephone | 330-429-5356
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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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