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General NPI Number Information
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NPI Number | 1174334635
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Entity Type | Organization
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Legal Business Name | CS OPCO LLC
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1320 MAHONING AVE NW
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City | WARREN
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State | OH
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Zip | 44483-2002
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Country | US
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Telephone | 330-373-1160
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Fax |
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Provider Business Mailing Address
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Address Line | 5140 US HIGHWAY 9
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City | HOWELL
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State | NJ
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Zip | 07731-3357
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Country | US
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Telephone | 845-608-9064
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTISYAHU NUSSBAUM
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Credential |
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Telephone | 212-653-8730
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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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