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General NPI Number Information
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NPI Number | 1245287168
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Entity Type | Organization
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Legal Business Name | CAPITAL REGION GERIATRIC CENTER, INC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 421 WEST COLUMBIA STREET
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City | COHOES
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State | NY
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Zip | 12047-2217
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Country | US
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Telephone | 518-237-5630
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Fax | 518-237-0904
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Provider Business Mailing Address
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Address Line | 421 WEST COLUMBIA STREET
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City | COHOES
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State | NY
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Zip | 12047-2217
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Country | US
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Telephone | 518-237-5630
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Fax | 518-237-0904
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MS. JUANITA WHEELER
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Credential |
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Telephone | 518-238-4045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0102001H
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0102001N
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License Number State | NY
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