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General NPI Number Information
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NPI Number | 1013960970
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Entity Type | Organization
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Legal Business Name | ONE PRICE DRIVE OPERATIONS LLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 1 PRICE DR
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City | ELKTON
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State | MD
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Zip | 21921-6731
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Country | US
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Telephone | 410-398-6474
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Fax | 410-392-2235
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Provider Business Mailing Address
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Address Line | 101 E STATE ST COMPLIANCE DEPARTMENT
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-3109
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Country | US
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Telephone | 610-444-6350
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Fax | 610-444-4395
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MICHAEL T BERG
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Credential |
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Telephone | 505-468-4742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 07002
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 07002
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License Number State | MD
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