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General NPI Number Information
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NPI Number | 1356734677
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Entity Type | Organization
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Legal Business Name | HOLLYWOOD HILLS OPERATOR LLC
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 7173 CYPRESS DR
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City | FORT MYERS
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State | FL
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Zip | 33907-2938
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Country | US
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Telephone | 732-961-8491
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RANDOLPH RD
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City | HOWELL
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State | NJ
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Zip | 07731-8611
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Country | US
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Telephone | 732-961-8491
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JONATHAN BLEIER
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Credential |
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Telephone | 732-961-8491
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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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