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General NPI Number Information
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NPI Number | 1063395002
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Entity Type | Organization
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Legal Business Name | ROCHESTER EAST OPERATING LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 501 8TH AVE SE
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City | ROCHESTER
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State | MN
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Zip | 55904-4834
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Country | US
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Telephone | 507-288-6514
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 NEILSON ST APT 1
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5039
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Country | US
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Telephone | 347-461-8204
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YEHUDA ZUTLER
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Credential |
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Telephone | 347-461-8204
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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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