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General NPI Number Information
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NPI Number | 1295727212
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Entity Type | Organization
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Legal Business Name | ULSTER COUNTY
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 99 GOLDEN HILL DR
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City | KINGSTON
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State | NY
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Zip | 12401-6442
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Country | US
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Telephone | 845-340-3390
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Fax | 845-340-3828
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Provider Business Mailing Address
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Address Line | 99 GOLDEN HILL DR
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City | KINGSTON
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State | NY
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Zip | 12401-6442
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Country | US
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Telephone | 845-340-3390
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Fax | 845-340-3871
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHEREE PEREZ CROSS
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Credential | MPA RD CDN
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Telephone | 845-340-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 55013091 N
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License Number State | NY
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