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General NPI Number Information
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NPI Number | 1962327874
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Entity Type | Organization
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Legal Business Name | DELAND ATHENS OPCO LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 545 W EUCLID AVE
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City | DELAND
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State | FL
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Zip | 32720-6771
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Country | US
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Telephone | 386-734-9085
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BROOKFALL RD
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City | EDISON
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State | NJ
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Zip | 08817-2946
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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 | MEMBER
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Name | SARAH BECHER
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Credential |
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Telephone | --
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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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