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General NPI Number Information
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NPI Number | 1023188976
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Entity Type | Organization
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Legal Business Name | KATHERINE LUTHER HEALTH CARE & REHABILITATION CENTER, INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 110 UTICA RD
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City | CLINTON
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State | NY
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Zip | 13323-1548
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Country | US
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Telephone | 315-853-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 110 UTICA RD
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City | CLINTON
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State | NY
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Zip | 13323-1548
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Country | US
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Telephone | 315-853-5515
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Fax |
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Authorized Official
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Title or Position | COMPTROLLER
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Name | SANTINA MARIE BONACCI
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Credential |
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Telephone | 315-235-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 02329573
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License Number State | NY
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