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General NPI Number Information
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NPI Number | 1306832613
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Entity Type | Organization
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Legal Business Name | GENESEE VALLEY PRESBYTERIAN NURSING CENTER
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 254 ALEXANDER ST
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City | ROCHESTER
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State | NY
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Zip | 14607-2515
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Country | US
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Telephone | 585-461-1991
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Fax | 585-461-9833
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Provider Business Mailing Address
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Address Line | 254 ALEXANDER ST
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City | ROCHESTER
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State | NY
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Zip | 14607-2515
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Country | US
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Telephone | 585-461-1991
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Fax | 585-461-9833
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Authorized Official
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Title or Position | EXECUTIVE VP/ADMINISTRATOR
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Name | MS. AMANDA D BROWN
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Credential |
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Telephone | 585-461-1991
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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 | 2701345N
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License Number State | NY
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