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General NPI Number Information
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NPI Number | 1356483580
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Entity Type | Organization
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Legal Business Name | KESER NURSING AND REHABILITATION CENTER INC.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 40 HEYWARD ST
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City | BROOKLYN
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State | NY
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Zip | 11211-7823
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Country | US
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Telephone | 718-858-6200
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Fax | 718-858-4997
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Provider Business Mailing Address
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Address Line | 40 HEYWARD ST
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City | BROOKLYN
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State | NY
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Zip | 11249-7823
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Country | US
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Telephone | 718-858-6200
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Fax | 718-858-4997
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHAIM I TEITELBAUM
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Credential |
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Telephone | 718-858-6200
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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 | 7001387N
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License Number State | NY
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