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General NPI Number Information
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NPI Number | 1154592632
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Entity Type | Organization
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Legal Business Name | BELVEDERE HEALTH SERVICES LLC.
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 39 COLUMBIA ST
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City | ALBANY
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State | NY
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Zip | 12207-2824
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Country | US
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Telephone | 518-694-9400
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Fax | 518-694-4419
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Provider Business Mailing Address
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Address Line | 1 VAN TROMP ST
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City | ALBANY
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State | NY
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Zip | 12207-2213
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Country | US
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Telephone | 518-694-9400
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Fax | 518-694-4419
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN H MCCOOEY JR.
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Credential |
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Telephone | 518-694-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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