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General NPI Number Information
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NPI Number | 1790815447
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Entity Type | Organization
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Legal Business Name | PLAZA HEALTH CARE & REHAB. CENT.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 456 RAHWAY AVE
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City | ELIZABETH
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State | NJ
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Zip | 07202-2338
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Country | US
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Telephone | 908-354-1300
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Fax | 908-629-9610
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Provider Business Mailing Address
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Address Line | 456 RAHWAY AVE
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City | ELIZABETH
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State | NJ
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Zip | 07202-2338
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Country | US
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Telephone | 908-354-1300
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Fax | 908-629-9610
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Authorized Official
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Title or Position | CONTROLLER
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Name | EFI LEAMBERGER
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Credential |
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Telephone | 908-354-1300
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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 | 602030
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License Number State | NJ
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