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General NPI Number Information
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NPI Number | 1023594280
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Entity Type | Organization
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Legal Business Name | FAIRVIEW CARE CENTER OF BETHLEHEM PIKE SNF LLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 184 BETHLEHEM PIKE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2815
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Country | US
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Telephone | 215-247-5311
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Fax | 215-242-9137
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Provider Business Mailing Address
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Address Line | 184 BETHLEHEM PIKE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-2815
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Country | US
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Telephone | 215-247-5311
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Fax | 215-242-9137
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. CHAIM STEG
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Credential |
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Telephone | 732-267-9679
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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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