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General NPI Number Information
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NPI Number | 1205549581
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE REHABILITATION AND NURSING LLC
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 94 SOUTH AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-2827
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Country | US
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Telephone | 540-433-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 94 SOUTH AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-2827
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Country | US
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Telephone | 540-433-2791
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Fax |
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Authorized Official
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Title or Position | COO
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Name | AKIVA SHAPIRO
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Credential |
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Telephone | 201-581-6622
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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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