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General NPI Number Information
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NPI Number | 1437477429
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Entity Type | Organization
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Legal Business Name | WESTGATE HILLS SNF LLC
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 2050 OLD CHESTER PIKE
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City | HAVERTOWN
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State | PA
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Zip | 19083-2712
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Country | US
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Telephone | 610-449-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 4597 ROUTE 9 N
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City | HOWELL
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State | NJ
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Zip | 07731-3382
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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 | AUTHORIZED MEMBER
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Name | NATHAN STERN
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Credential |
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Telephone | 732-942-1344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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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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