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General NPI Number Information
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NPI Number | 1578500922
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Entity Type | Organization
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Legal Business Name | REGINA COMMUNITY NURSING CENTER
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 550 E FORNANCE ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3536
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Country | US
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Telephone | 610-272-5600
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Fax | 610-279-0529
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Provider Business Mailing Address
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Address Line | 550 E FORNANCE ST
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City | NORRISTOWN
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State | PA
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Zip | 19401-3536
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Country | US
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Telephone | 610-272-5600
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Fax | 610-279-0529
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TIMOTHY BONJO
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Credential |
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Telephone | 610-272-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NF-182002
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License Number State | PA
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