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General NPI Number Information
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NPI Number | 1750180949
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Entity Type | Organization
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Legal Business Name | WOODBINE ALF OPERATIONS LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1 BON SECOURS WAY
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City | PORTSMOUTH
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State | VA
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Zip | 23703-4533
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Country | US
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Telephone | 757-686-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BON SECOURS WAY
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City | PORTSMOUTH
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State | VA
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Zip | 23703-4533
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Country | US
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Telephone | 757-686-9100
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF PROCUREMENT
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Name | JOSEPH LIEBERMAN
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Credential |
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Telephone | 646-275-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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