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General NPI Number Information
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NPI Number | 1447448527
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Entity Type | Organization
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Legal Business Name | CENTER FOR NURSING AND REHABILITATION
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 520 PROSPECT PL
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City | BROOKLYN
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State | NY
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Zip | 11238-4205
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Country | US
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Telephone | 171-863-6100
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Fax | 171-885-7455
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Provider Business Mailing Address
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Address Line | 520 PROSPECT PL
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City | BROOKLYN
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State | NY
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Zip | 11238-4205
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Country | US
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Telephone | 171-863-6100
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Fax | 171-885-7455
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF ADMISSION
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Name | MS. LIDIA F LEUDO
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Credential |
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Telephone | 171-863-6100
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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 | 7001354N
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License Number State | NY
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