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General NPI Number Information
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NPI Number | 1194636878
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Entity Type | Organization
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Legal Business Name | BRISTOL VILLAGE, INC.
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 8455 CLARENCE CENTER RD
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City | CLARENCE CENTER
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State | NY
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Zip | 14032-9315
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Country | US
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Telephone | 716-406-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 8455 CLARENCE CENTER RD
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City | CLARENCE CENTER
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State | NY
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Zip | 14032-9315
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Country | US
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Telephone | 716-406-9500
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | JEFFREY P BERNACKI
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Credential |
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Telephone | 716-406-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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