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NPI 1124995592

NPI 1124995592 : RESOURCE CENTER FOR INDEPENDENT LIVING : UTICA, NY

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General NPI Number Information
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    NPI Number           |    1124995592
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESOURCE CENTER FOR INDEPENDENT LIVING 
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Dates
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    Enumeration Date     |    10/21/2025
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    Last Update Date     |    03/23/2026
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Provider Practice Location Address
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    Address Line         |    1607 GENESEE ST 
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    City                 |    UTICA
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    State                |    NY
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    Zip                  |    13501-4731
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    Country              |    US
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    Telephone            |    315-797-4642
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    Fax                  |    315-797-4747
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Provider Business Mailing Address
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    Address Line         |    131 GENESEE ST 
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    City                 |    UTICA
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    State                |    NY
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    Zip                  |    13501-2105
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    Country              |    US
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    Telephone            |    315-797-4642
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    Fax                  |    315-797-4747
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Authorized Official
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    Title or Position    |    BILLING MANAGER
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    Name                 |    MS. DEBRA JEAN ROBERTS 
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    Credential           |    
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    Telephone            |    315-797-4642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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