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General NPI Number Information
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NPI Number | 1487466280
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Entity Type | Organization
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Legal Business Name | NH BV WESTMINSTER RIDGE TENANT, LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 505 HIGH ACRE DRIVE
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City | WESTMINSTER
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State | MD
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Zip | 21157
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Country | US
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Telephone | 410-871-2225
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Fax | 410-871-1295
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Provider Business Mailing Address
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Address Line | 505 HIGH ACRE DRIVE
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City | WESTMINSTER
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State | MD
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Zip | 21157
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Country | US
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Telephone | 410-871-2225
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Fax | 410-871-1295
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Authorized Official
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Title or Position | AUTHORIZED SIGNATORY
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Name | BRIAN ENGLE
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Credential |
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Telephone | 410-962-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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