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General NPI Number Information
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NPI Number | 1164811220
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Entity Type | Organization
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Legal Business Name | URNC OPERATING, LLC
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 2535 GENESEE ST
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City | UTICA
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State | NY
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Zip | 13501-6251
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Country | US
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Telephone | 315-797-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WOOD CT
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City | TARRYTOWN
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State | NY
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Zip | 10591-3108
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Country | US
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Telephone | 914-597-7630
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | ISRAEL OSTROVITSKY
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Credential |
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Telephone | 914-597-7631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 320231010
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 3202316N
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License Number State | NY
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