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General NPI Number Information
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NPI Number | 1972665040
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Entity Type | Organization
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Legal Business Name | CMO MANAGEMENT, LLC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18 4TH ST
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City | RICHWOOD
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State | WV
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Zip | 26261-1203
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Country | US
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Telephone | 304-846-2668
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Fax | 304-846-4851
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Provider Business Mailing Address
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Address Line | 18 4TH ST
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City | RICHWOOD
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State | WV
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Zip | 26261-1203
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Country | US
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Telephone | 304-846-2668
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Fax | 304-846-4851
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MOSHE M ORLLINSKY
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Credential |
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Telephone | 304-846-2668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 85
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License Number State | WV
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