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General NPI Number Information
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NPI Number | 1396825543
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Entity Type | Organization
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Legal Business Name | OZANAM HALL OF QUEENS NURSING HOME, INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 4241 201ST ST
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City | BAYSIDE
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State | NY
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Zip | 11361-2550
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Country | US
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Telephone | 718-423-2000
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Fax | 718-971-2071
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Provider Business Mailing Address
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Address Line | 4241 201ST ST
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City | BAYSIDE
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State | NY
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Zip | 11361-2550
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Country | US
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Telephone | 718-423-2000
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Fax | 718-971-2071
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PHILIP ANN BOWDEN
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Credential | LNHA
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Telephone | 718-423-2000
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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 |
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