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General NPI Number Information
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NPI Number | 1518518521
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Entity Type | Organization
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Legal Business Name | SNH WY TENANT LLC
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1901 HOWELL AVE
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City | WORLAND
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State | WY
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Zip | 82401-3733
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Country | US
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Telephone | 307-347-4285
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Fax | 307-347-2154
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Provider Business Mailing Address
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Address Line | 255 WASHINGTON ST STE 300
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City | NEWTON
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State | MA
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Zip | 02458-1634
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Country | US
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Telephone | 617-796-8350
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CEO, & MANAGING TRUSTEE
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Name | CHRISTOPHER BILOTTO
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Credential |
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Telephone | 617-796-8350
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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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