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General NPI Number Information
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NPI Number | 1356331565
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Entity Type | Organization
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Legal Business Name | EGER HEALTH CARE AND REHABILITATION CENTER
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 140 MEISNER AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-1236
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Country | US
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Telephone | 718-989-3021
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Fax | 718-980-3040
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Provider Business Mailing Address
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Address Line | 140 MEISNER AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-1236
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Country | US
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Telephone | 718-989-3021
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Fax | 718-980-3040
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MR. DAVID ROSE
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Credential |
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Telephone | 718-989-3002
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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 |
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License Number State | NY
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