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General NPI Number Information
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NPI Number | 1245889294
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Entity Type | Organization
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Legal Business Name | RESORTS AT POOLER INC
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 508 S ROGERS ST
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City | POOLER
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State | GA
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Zip | 31322-3116
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Country | US
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Telephone | 912-748-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 27 US HIGHWAY ROUTE 1 SOUTH
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901
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Country | US
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Telephone | 732-828-2400
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE
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Name | ZVI ROSENBERG
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Credential |
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Telephone | 732-860-5156
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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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