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General NPI Number Information
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NPI Number | 1093677767
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Entity Type | Organization
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Legal Business Name | WRNC OPERATING LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 201 W MADISON AVE
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City | JOHNSTOWN
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State | NY
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Zip | 12095-2806
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Country | US
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Telephone | 518-762-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WOOD CT
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City | TARRYTOWN
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State | NY
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Zip | 10591-3108
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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 | COO
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Name | ALEXANDER BARTH
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Credential |
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Telephone | 914-418-9834
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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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