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General NPI Number Information
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NPI Number | 1689662348
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Entity Type | Organization
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Legal Business Name | BMNH, INC.
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 107 N PIKE ST
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City | NEW CARLISLE
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State | OH
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Zip | 45344-1817
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Country | US
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Telephone | 937-845-3561
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Fax | 937-845-3339
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Provider Business Mailing Address
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Address Line | 107 N PIKE ST
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City | NEW CARLISLE
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State | OH
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Zip | 45344-1817
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Country | US
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Telephone | 937-845-3561
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Fax | 937-845-3339
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MR. SANFORD RUSTIN GERBER
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Credential | NHA
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Telephone | 937-845-3561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 2811
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License Number State | OH
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