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General NPI Number Information
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NPI Number | 1619966280
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Entity Type | Organization
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Legal Business Name | MT HOPE DUNKARD BRETHREN CHURCH HOME
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3026 MOUNT HOPE HOME RD
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City | MANHEIM
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State | PA
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Zip | 17545-9529
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Country | US
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Telephone | 717-665-6365
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Fax | 717-665-6366
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Provider Business Mailing Address
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Address Line | 3026 MOUNT HOPE HOME RD
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City | MANHEIM
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State | PA
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Zip | 17545-9529
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Country | US
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Telephone | 717-665-6365
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Fax | 717-665-6366
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ROGER E DUPERREE
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Credential | NHA
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Telephone | 717-665-6365
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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 | 134002
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License Number State | PA
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