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General NPI Number Information
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NPI Number | 1659276913
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Entity Type | Organization
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Legal Business Name | OCOEE JOHNSON CITY CCRC HEALTH & REHABILITATION LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 2012 SHERWOOD DR
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City | JOHNSON CITY
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State | TN
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Zip | 37601-3238
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Country | US
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Telephone | 423-232-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 SHERWOOD DR
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City | JOHNSON CITY
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State | TN
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Zip | 37601-3238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN SHEEHAN
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Credential |
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Telephone | 423-618-1488
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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 | NULL
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