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General NPI Number Information
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NPI Number | 1083743181
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Entity Type | Organization
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Legal Business Name | FIELD HOME - HOLY COMFORTER
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 CATHERINE ST
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-7231
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Country | US
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Telephone | 914-739-2244
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Fax | 914-739-2273
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Provider Business Mailing Address
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Address Line | 2300 CATHERINE ST FINANCE OFFICE
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-7231
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Country | US
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Telephone | 914-739-2244
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Fax | 914-739-2273
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JUDITH MADDEN
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Credential |
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Telephone | 914-739-2244
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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 | 5901302N
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License Number State | NY
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