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General NPI Number Information
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NPI Number | 1609548858
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Entity Type | Organization
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Legal Business Name | GLEN BROOK REHABILITATION AND HEALTHCARE CENTER LLC
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 801 E 16TH ST
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City | BERWICK
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State | PA
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Zip | 18603-2314
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Country | US
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Telephone | 570-802-9060
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Fax | 570-802-9023
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Provider Business Mailing Address
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Address Line | 801 E 16TH ST
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City | BERWICK
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State | PA
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Zip | 18603-2314
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Country | US
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Telephone | 570-802-9060
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Fax | 570-802-9023
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | MOSHE A STERN
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Credential |
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Telephone | 848-249-7952
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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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