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General NPI Number Information
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NPI Number | 1003980160
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Entity Type | Organization
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Legal Business Name | WEST BRANCH NURSING HOME LTD.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 451 VALLEY RD
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City | SALEM
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State | OH
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Zip | 44460-9725
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Country | US
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Telephone | 330-537-4621
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Fax | 330-537-4620
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Provider Business Mailing Address
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Address Line | 451 VALLEY RD
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City | SALEM
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State | OH
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Zip | 44460-9725
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Country | US
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Telephone | 330-537-4621
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Fax | 330-537-4620
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Authorized Official
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Title or Position | MEMBER
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Name | MICHAEL P SLYK
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Credential |
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Telephone | 330-856-4232
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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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