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General NPI Number Information
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NPI Number | 1093015547
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Entity Type | Organization
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Legal Business Name | OAKLAND HEALTHCARE MANAGEMENT
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 737 N HIGHWAY ST
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City | OAKLAND
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State | IA
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Zip | 51560-4532
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Country | US
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Telephone | 712-482-6810
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Fax | 712-482-6879
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Provider Business Mailing Address
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Address Line | 737 N HIGHWAY ST
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City | OAKLAND
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State | IA
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Zip | 51560-4532
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Country | US
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Telephone | 712-482-6810
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Fax | 712-482-6879
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JUDAH BIENSTOCK
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Credential |
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Telephone | 314-917-1297
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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 | 780147
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License Number State | IA
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