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General NPI Number Information
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NPI Number | 1457375099
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Entity Type | Organization
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Legal Business Name | AUGUSTA FACILITY OPERATIONS, LLC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 83 CROSS ROAD LN
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2331
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Country | US
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Telephone | 540-885-8424
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Fax | 540-885-8434
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Provider Business Mailing Address
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Address Line | 83 CROSS ROAD LN
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2331
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Country | US
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Telephone | 540-885-8424
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TIM LEHNER
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Credential |
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Telephone | 770-698-9040
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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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