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General NPI Number Information
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NPI Number | 1235833773
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Entity Type | Organization
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Legal Business Name | ER 320 OPERATIONS LLC
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 320 S MARKET ST
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2422
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Country | US
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Telephone | 973-250-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 AVENUE OF THE STATES
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4789
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Country | US
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Telephone | 973-250-7500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELIEZER SENDEROVITS
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Credential |
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Telephone | 973-250-7500
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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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