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General NPI Number Information
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NPI Number | 1679974174
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Entity Type | Organization
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Legal Business Name | RUNNELLS BH OPERATING LLC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 40 WATCHUNG WAY
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2600
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Country | US
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Telephone | 718-360-8083
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Fax | 718-732-2481
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Provider Business Mailing Address
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Address Line | 49 HAMLIN RD
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City | EDISON
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State | NJ
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Zip | 08817-2951
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Country | US
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Telephone | 718-360-8083
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Fax | 718-732-2481
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JONATHAN ROSENBERG
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Credential |
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Telephone | 732-335-6951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 22001
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License Number State | NJ
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