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General NPI Number Information
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NPI Number | 1457348369
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Entity Type | Organization
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Legal Business Name | STATE OF NEW YORK COMPTROLLERS OFFICE
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 2090 ALBANY POST RD
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City | MONTROSE
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State | NY
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Zip | 10548-1454
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Country | US
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Telephone | 914-788-6000
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Fax | 914-788-6110
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Provider Business Mailing Address
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Address Line | 4334 COUNTY ROAD 32
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City | OXFORD
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State | NY
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Zip | 13830-4101
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Country | US
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Telephone | 914-788-6000
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Fax | 914-788-6110
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NANCY BAA-DANSO
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Credential | ADMINISTRATION
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Telephone | 914-788-6003
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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 | 5951300N
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License Number State | NY
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