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General NPI Number Information
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NPI Number | 1780173690
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Entity Type | Organization
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Legal Business Name | GARDEN SPRING CENTER SNF LLC
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 1113 NORTH EASTON ROAD
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City | WILLOW GROVE
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State | PA
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Zip | 19090
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Country | US
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Telephone | 215-830-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1113 EASTON RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1901
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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 | AUTHORIZED OFFICIAL
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Name | ISRAEL BIRNBAUM
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Credential |
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Telephone | 732-905-6440
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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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