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General NPI Number Information
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NPI Number | 1164063848
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Entity Type | Organization
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Legal Business Name | BALDWIN HEALTH AND REHAB LLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 22670 MAIN ST
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City | FAIRHOPE
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State | AL
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Zip | 36532-8301
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Country | US
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Telephone | 251-928-2177
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Fax | 251-928-2698
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Provider Business Mailing Address
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Address Line | 22670 MAIN ST
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City | FAIRHOPE
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State | AL
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Zip | 36532-8301
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Country | US
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Telephone | 251-928-2177
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Fax | 251-928-2698
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Authorized Official
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Title or Position | MANAGER
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Name | SHALOM LERNER
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Credential |
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Telephone | 718-564-6560
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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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