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General NPI Number Information
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NPI Number | 1669834032
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Entity Type | Organization
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Legal Business Name | WARRENTON OPERATIONS, LLC
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 614 HASTINGS LN
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City | WARRENTON
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State | VA
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Zip | 20186-2110
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Country | US
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Telephone | 540-347-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 276 CEDARBRIDGE AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4265
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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 | MANAGER
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Name | ABRAHAM GUTNICKI
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Credential |
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Telephone | 847-933-9280
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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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