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General NPI Number Information
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NPI Number | 1407919012
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Entity Type | Organization
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Legal Business Name | WESTBROOK OPERATIONS, LLC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 300 SPRING ST
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City | WESTBROOK
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State | ME
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Zip | 04092-3915
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Country | US
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Telephone | 207-856-1230
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Fax | 207-856-1239
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Provider Business Mailing Address
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Address Line | 101 E STATE ST
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-3109
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Country | US
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Telephone | 610-925-4436
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Fax | 610-925-4351
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Authorized Official
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Title or Position | SECRETARY
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Name | MICHAEL THEODORE BURG
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Credential |
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Telephone | 610-444-6350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 1920
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License Number State | ME
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