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General NPI Number Information
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NPI Number | 1053308205
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Entity Type | Organization
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Legal Business Name | SCHENECTADY NURSING AND REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 1940 HAMBURG ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-4791
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Country | US
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Telephone | 518-370-5051
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Fax | 518-374-6271
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Provider Business Mailing Address
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Address Line | 1940 HAMBURG ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-4791
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Country | US
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Telephone | 518-370-5051
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Fax | 518-374-6271
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Authorized Official
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Title or Position | C.E.O.
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Name | PATRICK RICHARD MARTONE
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Credential |
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Telephone | 518-346-9640
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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 | 4601306N
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License Number State | NY
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