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NPI 1639057417

NPI 1639057417 : AUBURN OPCO LLC : AUBURN, KY

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General NPI Number Information
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    NPI Number           |    1639057417
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUBURN OPCO LLC 
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Dates
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    Enumeration Date     |    08/21/2025
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    139 PEARL ST 
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    City                 |    AUBURN
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    State                |    KY
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    Zip                  |    42206-5121
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    Country              |    US
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    Telephone            |    270-542-4111
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    Fax                  |    270-542-7026
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Provider Business Mailing Address
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    Address Line         |    139 PEARL ST 
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    City                 |    AUBURN
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    State                |    KY
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    Zip                  |    42206-5121
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    Country              |    US
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    Telephone            |    270-542-4111
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    Fax                  |    270-542-7026
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     MOSHE  KELMAN 
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    Credential           |    
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    Telephone            |    270-542-4111
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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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