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General NPI Number Information
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NPI Number | 1114095171
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Entity Type | Organization
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Legal Business Name | SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 1 ABELE DR
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City | CLIFTON PARK
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State | NY
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Zip | 12065-2951
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Country | US
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Telephone | 518-371-1400
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Fax | 518-371-1240
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Provider Business Mailing Address
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Address Line | 1 ABELE DR
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City | CLIFTON PARK
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State | NY
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Zip | 12065-2951
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Country | US
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Telephone | 518-371-1400
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Fax | 518-371-1240
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MR. PATRICK J RYAN
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Credential |
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Telephone | 518-275-4258
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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 | 4552300N
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License Number State | NY
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