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General NPI Number Information
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NPI Number | 1336149871
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Entity Type | Organization
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Legal Business Name | OAK SPRINGS NURSING HOME LLC
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 614 HASTINGS LN
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City | WARRENTON
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State | VA
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Zip | 20186-2110
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Country | US
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Telephone | 540-347-4770
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Fax | 540-347-5101
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Provider Business Mailing Address
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Address Line | 614 HASTINGS LN
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City | WARRENTON
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State | VA
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Zip | 20186-2110
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Country | US
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Telephone | 540-347-4770
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Fax | 540-347-5101
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS BETHANY VINER
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Credential | ADMINISTRATIVE CNHA
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Telephone | 540-347-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH2645
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH2645
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License Number State | VA
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