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General NPI Number Information
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NPI Number | 1548048598
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Entity Type | Organization
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Legal Business Name | DAUGHTERS OF MIRIAM CENTER FOR NURSING & REHABILITATION LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 1 DAVID MYERS PKWY
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City | BEACHWOOD
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State | OH
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Zip | 44122-1162
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Country | US
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Telephone | 732-335-6951
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Fax |
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Provider Business Mailing Address
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Address Line | 211 BOULEVARD OF AMERICAS
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4775
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Country | US
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Telephone | 732-335-6951
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ZVI ROSENBERG
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Credential |
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Telephone | 732-335-6951
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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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