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General NPI Number Information
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NPI Number | 1053313825
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Entity Type | Organization
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Legal Business Name | BAIRD NURSING HOME,LLC
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 2150 SAINT PAUL ST
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City | ROCHESTER
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State | NY
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Zip | 14621-1415
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Country | US
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Telephone | 585-342-5540
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Fax | 585-342-3539
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Provider Business Mailing Address
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Address Line | 2150 SAINT PAUL ST
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City | ROCHESTER
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State | NY
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Zip | 14621-1415
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Country | US
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Telephone | 585-342-5540
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Fax | 585-342-3539
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. STEPHEN T HEARD
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Credential |
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Telephone | 585-342-5540
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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 | 2701357N
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License Number State | NY
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