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General NPI Number Information
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NPI Number | 1669349767
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Entity Type | Organization
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Legal Business Name | WARREN MP OPCO LLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 11525 E 10 MILE RD
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City | WARREN
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State | MI
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Zip | 48089-3802
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Country | US
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Telephone | 586-759-0700
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Fax | 586-759-2593
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Provider Business Mailing Address
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Address Line | 11525 E 10 MILE RD
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City | WARREN
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State | MI
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Zip | 48089-3802
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Country | US
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Telephone | 586-759-0700
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Fax | 586-759-2593
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Authorized Official
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Title or Position | CFO
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Name | TIFFANY M LOCKHART
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Credential |
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Telephone | 330-223-8200
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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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