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General NPI Number Information
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NPI Number | 1497312706
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Entity Type | Organization
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Legal Business Name | LEBANON CENTER FOR REHABILITATION AND HEALING LLC
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 731 CASTLE HEIGHTS CT
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City | LEBANON
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State | TN
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Zip | 37087-2646
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Country | US
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Telephone | 615-444-4319
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Fax | 615-444-4393
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Provider Business Mailing Address
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Address Line | 731 CASTLE HEIGHTS CT
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City | LEBANON
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State | TN
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Zip | 37087-2646
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Country | US
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Telephone | 615-444-4319
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Fax | 615-444-4393
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Authorized Official
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Title or Position | MANAGER
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Name | MARK FRIEDMAN
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Credential |
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Telephone | 201-731-1700
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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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