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NPI 1578420550

NPI 1578420550 : BH SHERIDEN WOODS LLC : BRISTOL, CT

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General NPI Number Information
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    NPI Number           |    1578420550
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    Entity Type          |    Organization 
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    Legal Business Name  |    BH SHERIDEN WOODS LLC 
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Dates
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    Enumeration Date     |    01/09/2026
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    Last Update Date     |    01/09/2026
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Provider Practice Location Address
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    Address Line         |    321 STONECREST DR 
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    City                 |    BRISTOL
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    State                |    CT
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    Zip                  |    06010-5378
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    Country              |    US
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    Telephone            |    860-583-1827
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    321 STONECREST DR 
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    City                 |    BRISTOL
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    State                |    CT
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    Zip                  |    06010-5378
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    Country              |    US
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    Telephone            |    860-583-1827
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    Fax                  |    
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     YEHUDA  PEPPER 
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    Credential           |    
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    Telephone            |    845-304-1140
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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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