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General NPI Number Information
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NPI Number | 1952733479
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Entity Type | Organization
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Legal Business Name | WLKOP LLC
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 4000 CROCKER RD
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City | WESTLAKE
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State | OH
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Zip | 44145-6312
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Country | US
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Telephone | 440-892-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 26945 AMHEARST CIR APT 209
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City | BEACHWOOD
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State | OH
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Zip | 44122-7566
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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 | MANAGER
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Name | AKIVA GRUNEWALD
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Credential |
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Telephone | 216-502-2661
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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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