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General NPI Number Information
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NPI Number | 1366327884
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Entity Type | Organization
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Legal Business Name | NBH1 MTOPCO LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 11988 MARK TWAIN LN
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City | BRIDGETON
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State | MO
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Zip | 63044-2825
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Country | US
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Telephone | 314-291-8240
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Fax |
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Provider Business Mailing Address
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Address Line | 525 ROUTE 70 STE 3B
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City | BRICK
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State | NJ
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Zip | 08723-4022
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Country | US
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Telephone | 305-490-6963
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | AVRAHAM LAPCIUC
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Credential | MBA
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Telephone | 305-490-6963
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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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