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General NPI Number Information
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NPI Number | 1609167154
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Entity Type | Organization
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Legal Business Name | KEARSLEY OPERATOR LP
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 2100 NORTH 49TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19131-2698
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Country | US
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Telephone | 215-877-1565
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Fax | 215-877-7222
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Provider Business Mailing Address
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Address Line | 575 ROUTE 70 FL 2 P.O. BOX 1030
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City | BRICK
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State | NJ
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Zip | 08723-4042
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Country | US
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Telephone | 732-415-6022
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Fax | 732-415-2007
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Authorized Official
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Title or Position | PARTNER
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Name | MR. YONAH T. KOHN
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Credential |
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Telephone | 732-415-6022
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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 | 032502
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License Number State | PA
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