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General NPI Number Information
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NPI Number | 1861337362
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Entity Type | Organization
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Legal Business Name | BAY AREA OPERATIONS LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 1555 DOUSMAN ST
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City | GREEN BAY
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State | WI
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Zip | 54303-3207
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Country | US
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Telephone | 718-570-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2512
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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 | DANIEL MANDELBAUM
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Credential | CPA
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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 | 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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