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General NPI Number Information
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NPI Number | 1336197839
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Entity Type | Organization
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Legal Business Name | SAMARITAN KEEP NURSING HOME INC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 133 PRATT ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4300
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Country | US
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Telephone | 315-785-4421
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Fax |
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Provider Business Mailing Address
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Address Line | 133 PRATT ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4300
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Country | US
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Telephone | 315-785-4421
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Fax | 315-785-5760
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | CHRIS HOCHGRAF
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Credential |
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Telephone | 315-779-5278
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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 | 2201000N
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License Number State | NY
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