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General NPI Number Information
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NPI Number | 1932755626
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Entity Type | Organization
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Legal Business Name | NEW DAWN NURSING
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Dates
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Enumeration Date | 08/18/2019
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Last Update Date | 08/18/2019
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Provider Practice Location Address
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Address Line | 865 E IRON AVE
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City | DOVER
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State | OH
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Zip | 44622-2099
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Country | US
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Telephone | 330-343-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 MARKET ST
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-3457
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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 | MANAGING MEMBER
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Name | BORUCH FINK
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Credential |
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Telephone | 330-343-5521
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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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