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General NPI Number Information
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NPI Number | 1700523818
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Entity Type | Organization
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Legal Business Name | BLOOMSBURG REHABILITATION AND NURSING CENTER LLC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 211 E 1ST ST
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City | BLOOMSBURG
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State | PA
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Zip | 17815-1405
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Country | US
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Telephone | 570-784-5930
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Fax |
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Provider Business Mailing Address
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Address Line | C/O CONTINUUM 180 SYLVAN AVENUE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632
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Country | US
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Telephone | 718-570-6018
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. DANIEL MANDELBAUM
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Credential |
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Telephone | 718-570-6018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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