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General NPI Number Information
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NPI Number | 1336037159
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Entity Type | Organization
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Legal Business Name | 50 BRIGGS AVE OPCO LLC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 50 BRIGGS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1267
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Country | US
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Telephone | 210-921-0184
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Fax | 210-927-2209
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Provider Business Mailing Address
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Address Line | 50 BRIGGS ST
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1267
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Country | US
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Telephone | 210-921-0184
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Fax | 210-927-2209
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Authorized Official
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Title or Position | MANAGER
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Name | NOCHUM FREUND
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Credential |
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Telephone | 732-719-5098
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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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