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General NPI Number Information
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NPI Number | 1295942993
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Entity Type | Organization
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Legal Business Name | ELEANOR E. RICHARDSON
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1172 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-1136
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Country | US
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Telephone | 585-225-0450
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Fax | 585-225-4126
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Provider Business Mailing Address
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Address Line | 1172 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-1136
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Country | US
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Telephone | 585-225-0450
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Fax | 585-225-4126
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE AND PLANNING
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Name | MR. DANIEL E RICHARDSON
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Credential | LNHA
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Telephone | 585-225-0910
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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 | 2754300N
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License Number State | NY
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