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General NPI Number Information
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NPI Number | 1366104903
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Entity Type | Organization
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Legal Business Name | PARIS HEALTH AND REHAB CENTER LLC
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 1011 N MAIN ST
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City | PARIS
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State | IL
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Zip | 61944-1145
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Country | US
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Telephone | 217-465-5376
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Fax |
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Provider Business Mailing Address
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Address Line | 575 ROUTE 70
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City | BRICK
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State | NJ
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Zip | 08723-4042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHALOM LICHTMAN
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Credential |
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Telephone | 217-465-5376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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