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General NPI Number Information
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NPI Number | 1720598261
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Entity Type | Organization
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Legal Business Name | BIRCHWOOD PLACE SNF LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 395 MIDDLE RD
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City | NANTICOKE
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State | PA
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Zip | 18634-3806
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Country | US
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Telephone | 570-735-2973
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Fax |
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Provider Business Mailing Address
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Address Line | 368 NEW HEMPSTEAD RD STE 309
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City | NEW CITY
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State | NY
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Zip | 10956-1900
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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 | MEMBER
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Name | MR. JACOB KARMEL
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Credential |
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Telephone | 845-746-5010
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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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