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General NPI Number Information
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NPI Number | 1154922144
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Entity Type | Organization
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Legal Business Name | BAY AT ST ANN HEALTH AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 2020 S MUSKEGO AVE
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City | MILWAUKEE
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State | WI
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Zip | 53204-3622
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Country | US
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Telephone | 516-605-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 165 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3761
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Country | US
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Telephone | 516-605-9800
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Fax |
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Authorized Official
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Title or Position | COO
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Name | NELSON STEIN
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Credential |
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Telephone | 516-605-9800
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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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