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General NPI Number Information
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NPI Number | 1326151804
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Entity Type | Organization
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Legal Business Name | SPRING CREEK MANAGEMENT, LP
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 1205 S 28TH ST
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City | HARRISBURG
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State | PA
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Zip | 17111-1046
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Country | US
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Telephone | 717-558-1000
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Fax | 717-558-8658
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Provider Business Mailing Address
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Address Line | 1205 S 28TH ST
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City | HARRISBURG
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State | PA
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Zip | 17111-1046
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Country | US
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Telephone | 717-558-1000
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Fax | 717-558-8658
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. CLAYTON HOLBROOK CHRISTENSEN
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Credential | N.H.A.
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Telephone | 203-227-1763
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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 | IN PROCESS OF OBTAIN
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License Number State | PA
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