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General NPI Number Information
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NPI Number | 1245350495
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Entity Type | Organization
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Legal Business Name | SILVER STREAM CENTER
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1890 AUTUMN LEAF LN
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1526
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Country | US
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Telephone | 215-630-7449
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Fax |
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Provider Business Mailing Address
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Address Line | 1890 AUTUMN LEAF LN
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1526
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Country | US
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Telephone | 215-630-7449
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Fax |
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Authorized Official
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Title or Position | SENIOR PROGRAM MANAGER
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Name | MS. LAUREN KARP
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Credential | OTRL
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Telephone | 215-646-1500
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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 | OC004218L
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License Number State | PA
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