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General NPI Number Information
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NPI Number | 1487396164
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Entity Type | Organization
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Legal Business Name | ABH OPCO LLC
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 189 ALPS RD
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City | BRANFORD
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State | CT
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Zip | 06405-4771
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Country | US
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Telephone | 561-451-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 494 ELM ST
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City | STAMFORD
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State | CT
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Zip | 06902-5115
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Country | US
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Telephone | 561-451-3277
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. AARON SODDEN
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Credential |
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Telephone | 516-451-3277
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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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