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General NPI Number Information
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NPI Number | 1598752206
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Entity Type | Organization
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Legal Business Name | MADLYN AND LEONARD ABRAMSON CENTER FOR JEWISH LIFE
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 1425 HORSHAM RD
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City | NORTH WALES
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State | PA
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Zip | 19454-1320
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Country | US
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Telephone | 215-371-3000
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Fax | 215-371-3032
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Provider Business Mailing Address
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Address Line | 1425 HORSHAM RD
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City | NORTH WALES
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State | PA
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Zip | 19454-1320
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Country | US
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Telephone | 215-371-3000
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Fax | 215-371-3032
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ANDY BRONSTEIN
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Credential | CPA
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Telephone | 215-371-1807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 114350
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 09130200
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 17001601
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License Number State | PA
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