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General NPI Number Information
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NPI Number | 1588426019
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Entity Type | Organization
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Legal Business Name | EDEN FRIENDLY OPERATIONS LLC
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 303 RHODES AVE
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City | WOONSOCKET
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State | RI
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Zip | 02895-2821
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Country | US
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Telephone | 401-769-7220
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Fax |
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Provider Business Mailing Address
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Address Line | 1904 AVENUE M
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City | BROOKLYN
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State | NY
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Zip | 11230-6202
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Country | US
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Telephone | 718-975-4714
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Fax |
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Authorized Official
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Title or Position | CFO EDEN HC LLC
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Name | MR. JOSEPH POLLACK
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Credential |
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Telephone | 718-975-4714
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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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