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General NPI Number Information
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NPI Number | 1558020842
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Entity Type | Organization
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Legal Business Name | PALMS NH MANAGEMENT LLC
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 14601 NE 16TH AVE
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City | NORTH MIAMI
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State | FL
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Zip | 33161-2614
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Country | US
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Telephone | 305-701-9699
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Fax |
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Provider Business Mailing Address
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Address Line | 980 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3301
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Country | US
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Telephone | 305-956-5188
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Fax |
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Authorized Official
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Title or Position | COO
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Name | BATYA GORELICK
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Credential |
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Telephone | 305-701-9699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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