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General NPI Number Information
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NPI Number | 1164525259
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Entity Type | Organization
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Legal Business Name | HILTON EAST ASSISTED LIVING
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 231 EAST AVE
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City | HILTON
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State | NY
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Zip | 14468-1333
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Country | US
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Telephone | 585-392-7171
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Fax | 585-392-1112
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Provider Business Mailing Address
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Address Line | 231 EAST AVE
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City | HILTON
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State | NY
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Zip | 14468-1333
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Country | US
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Telephone | 585-392-7171
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Fax | 585-392-1112
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANDREW WEGMAN
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Credential | B.S.
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Telephone | 585-392-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | NY
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