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General NPI Number Information
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NPI Number | 1194754366
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Entity Type | Organization
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Legal Business Name | DAUGHTERS OF SARAH NURSING CENTER, INC.
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 180 WASHINGTON AVENUE EXT
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City | ALBANY
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State | NY
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Zip | 12203-5347
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Country | US
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Telephone | 518-456-7831
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Fax | 518-456-1563
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Provider Business Mailing Address
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Address Line | 180 WASHINGTON AVENUE EXT
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City | ALBANY
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State | NY
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Zip | 12203-5347
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Country | US
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Telephone | 518-456-7831
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Fax | 518-456-1563
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | COURTNEY MULSON
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Credential |
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Telephone | 518-456-7831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0101312N
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License Number State | NY
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