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General NPI Number Information
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NPI Number | 1013757269
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Entity Type | Organization
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Legal Business Name | BH DANBURY LLC
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 107 OSBORNE ST
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City | DANBURY
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State | CT
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Zip | 06810-6016
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Country | US
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Telephone | 203-792-8102
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Fax |
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Provider Business Mailing Address
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Address Line | 317 S LITTLE TOR RD
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City | NEW CITY
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State | NY
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Zip | 10956-1431
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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 | OWNER
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Name | YEHUDA PEPPER
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Credential |
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Telephone | 203-792-8102
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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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