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General NPI Number Information
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NPI Number | 1154054971
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Entity Type | Organization
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Legal Business Name | OSCEOLA SNF OPERATIONS LLC
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 4201 NOLTE RD
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City | SAINT CLOUD
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State | FL
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Zip | 34772-7158
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Country | US
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Telephone | 407-957-3341
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Fax |
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Provider Business Mailing Address
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Address Line | 267 BROADWAY
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City | BROOKLYN
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State | NY
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Zip | 11211-6216
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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 | CEO
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Name | SOLOMON KLEIN
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Credential |
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Telephone | 347-909-1811
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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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