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General NPI Number Information
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NPI Number | 1932942984
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Entity Type | Organization
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Legal Business Name | 600 NORTH BRUSH OPCO LLC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 600 N BRUSH ST
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City | FREMONT
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State | OH
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Zip | 43420-1402
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Country | US
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Telephone | 419-334-9521
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Fax |
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Provider Business Mailing Address
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Address Line | 30100 CHAGRIN BLVD
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City | PEPPER PIKE
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State | OH
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Zip | 44124-5722
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Country | US
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Telephone | 516-545-0980
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RACHEL FRIEDMAN
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Credential |
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Telephone | 327-552-6035
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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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