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General NPI Number Information
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NPI Number | 1346323573
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Entity Type | Organization
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Legal Business Name | ESSEX REHABILITATION AND CARE CENTER LLC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 1150 MARSH STREET
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-6515
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Country | US
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Telephone | 804-443-4308
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Fax | 804-443-6425
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Provider Business Mailing Address
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Address Line | 1150 MARSH STREET
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-6515
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Country | US
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Telephone | 804-443-4308
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Fax | 804-443-6425
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Authorized Official
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Title or Position | CEO
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Name | MR. BEN ATKINS
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Credential |
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Telephone | 727-723-3000
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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 | VA2702
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License Number State | VA
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