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General NPI Number Information
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NPI Number | 1285533752
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Entity Type | Organization
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Legal Business Name | CASA DE PAZ OPCO LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2121 W 19TH ST
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City | SIOUX CITY
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State | IA
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Zip | 51103-2333
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Country | US
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Telephone | 712-233-3127
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 W 19TH ST
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City | SIOUX CITY
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State | IA
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Zip | 51103-2333
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | NATHAN GOLDBERG
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Credential |
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Telephone | 443-208-1826
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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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