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General NPI Number Information
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NPI Number | 1417171562
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Entity Type | Organization
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Legal Business Name | EAST HOUSE CORP
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 259 MONROE AVE., STE. 200
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City | ROCHESTER
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State | NY
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Zip | 14607-5630
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Country | US
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Telephone | 585-238-4800
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Fax | 585-238-4899
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Provider Business Mailing Address
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Address Line | 259 MONROE AVE STE 200
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City | ROCHESTER
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State | NY
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Zip | 14607-3632
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Country | US
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Telephone | 585-238-4800
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Fax | 585-238-4899
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY SOEHNER
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Credential |
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Telephone | 585-238-4823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 6081438
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 6081430
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 6081440
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 6081437
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 6081436
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 6081441
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License Number State | NY
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