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General NPI Number Information
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NPI Number | 1073542379
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Entity Type | Organization
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Legal Business Name | ALLEGANY REHABILITATION ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4222 BOLIVAR RD
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City | WELLSVILLE
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State | NY
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Zip | 14895-9332
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Country | US
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Telephone | 585-593-1919
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Fax | 585-593-4191
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Provider Business Mailing Address
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Address Line | 4222 BOLIVAR RD
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City | WELLSVILLE
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State | NY
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Zip | 14895-9332
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Country | US
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Telephone | 585-593-1919
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Fax | 585-593-4191
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. LEONARD M JAKOVAC
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Credential |
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Telephone | 585-593-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | NY
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