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General NPI Number Information
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NPI Number | 1376231225
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Entity Type | Organization
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Legal Business Name | ARABELLA HEALTH & WELLNESS OF BUTLER OPCO LLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 1406 E PUSHMATAHA ST
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City | BUTLER
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State | AL
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Zip | 36904-2728
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Country | US
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Telephone | 205-429-5506
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Fax | 205-459-5503
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Provider Business Mailing Address
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Address Line | 1406 E PUSHMATAHA ST
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City | BUTLER
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State | AL
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Zip | 36904-2728
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Country | US
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Telephone | 205-429-5506
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Fax | 205-459-5503
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Authorized Official
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Title or Position | AUTHORIZED SIGNATORY
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Name | CHAIM N HERTZEL
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Credential |
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Telephone | 901-930-6124
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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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