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General NPI Number Information
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NPI Number | 1215184817
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Entity Type | Organization
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Legal Business Name | EXTENDED CARE HEALTH SERVICES
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 99 RAILROAD STATION PLZ SUITE 214
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City | HICKSVILLE
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State | NY
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Zip | 11801-2896
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Country | US
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Telephone | 516-932-0900
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Fax | 516-932-3328
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Provider Business Mailing Address
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Address Line | 99 RAILROAD STATION PLAZA
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City | HICKSVILLE
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State | NY
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Zip | 11801-4428
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Country | US
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Telephone | 516-935-2251
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | MRS. FRANCES JOSEPHINE ARMATO
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Credential | NURSING
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Telephone | 516-935-2251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 097353-1
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License Number State | NY
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