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General NPI Number Information
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NPI Number | 1588226153
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Entity Type | Organization
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Legal Business Name | RESORTS AT CHESTER RIVER MANOR CORP
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 200 MORGNEC RD
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1026
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Country | US
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Telephone | 410-778-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 200 MORGNEC RD
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City | CHESTERTOWN
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State | MD
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Zip | 21620-1026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE
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Name | MOSHE ROSENBERG
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Credential |
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Telephone | 856-779-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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