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General NPI Number Information
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NPI Number | 1699237305
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Entity Type | Organization
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Legal Business Name | PARK RIDGE SNF AMOP, LLC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 120 NOYES DR
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City | PARK RIDGE
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State | NJ
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Zip | 07656-1294
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Country | US
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Telephone | 201-505-1777
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Fax |
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Provider Business Mailing Address
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Address Line | C/O SPRING HILLS LLC 26 MAIN STREET
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City | EDISON
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State | NJ
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Zip | 08837
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Country | US
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Telephone | 732-582-0400
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Fax |
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Authorized Official
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Title or Position | EVP COMPLIANCE
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Name | GREGORY HOOK
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Credential |
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Telephone | 201-953-0546
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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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