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General NPI Number Information
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NPI Number | 1568734812
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Entity Type | Organization
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Legal Business Name | BOWIE SNF LLC
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 700 W HIGHWAY 287 S
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City | BOWIE
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State | TX
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Zip | 76230-3119
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Country | US
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Telephone | 718-338-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 2071 FLATBUSH AVE SUITE 22
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City | BROOKLYN
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State | NY
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Zip | 11234-3523
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Country | US
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Telephone | 718-338-2999
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Fax | 718-338-3837
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Authorized Official
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Title or Position | CFO
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Name | ZEVI KOHN
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Credential |
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Telephone | 718-338-2999
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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 | TX
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