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General NPI Number Information
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NPI Number | 1295449981
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Entity Type | Organization
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Legal Business Name | M OAKS OPCO LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 2121 E COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-3821
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Country | US
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Telephone | 954-771-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SYLVAN AVE SUITE 4
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2519
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Country | US
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Telephone | 201-731-1700
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARK FRIEDMAN
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Credential |
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Telephone | 917-596-1800
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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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