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General NPI Number Information
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NPI Number | 1891587119
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Entity Type | Organization
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Legal Business Name | ENCORE AT WEST MEADOW LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 255 POSSUM PARK RD
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City | NEWARK
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State | DE
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Zip | 19711-3877
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Country | US
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Telephone | 646-285-5701
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CRAFT AVE
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City | INWOOD
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State | NY
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Zip | 11096-1708
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Country | US
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Telephone | 732-674-3498
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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 | HARRY BARAX
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Credential |
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Telephone | 646-285-5701
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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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