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General NPI Number Information
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NPI Number | 1669288684
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Entity Type | Organization
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Legal Business Name | BLUE HEN HEALTHCARE LLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 254 W MAIN ST
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City | NEWARK
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State | DE
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Zip | 19711-3235
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Country | US
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Telephone | 302-731-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 1904 AVENUE M
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City | BROOKLYN
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State | NY
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Zip | 11230-6202
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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 | OWNER
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Name | MR. MICHAEL BRAUNSTEIN
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Credential |
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Telephone | 917-751-6685
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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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