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General NPI Number Information
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NPI Number | 1164252961
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Entity Type | Organization
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Legal Business Name | CAPE COD OPERATOR LLC
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 383 S ORLEANS RD
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City | BREWSTER
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State | MA
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Zip | 02631-2870
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Country | US
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Telephone | 508-240-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 383 S ORLEANS RD
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City | BREWSTER
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State | MA
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Zip | 02631-2870
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Country | US
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Telephone | 508-240-3500
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Fax |
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Authorized Official
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Title or Position | MEDICARE ADMINISTRATION OFFICER
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Name | MINDEE POSEN
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Credential |
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Telephone | 845-825-2217
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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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