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General NPI Number Information
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NPI Number | 1467513655
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Entity Type | Organization
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Legal Business Name | GENESEE COUNTY NURSING HOME
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 278 BANK ST
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City | BATAVIA
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State | NY
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Zip | 14020-1616
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Country | US
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Telephone | 585-344-0584
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Fax | 585-344-4685
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Provider Business Mailing Address
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Address Line | 278 BANK ST
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City | BATAVIA
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State | NY
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Zip | 14020-1616
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Country | US
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Telephone | 585-344-0584
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Fax | 585-344-4685
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MS. DAWN M CANALE
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Credential | D.O.N.
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Telephone | 585-344-0584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 290N004
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License Number State | NY
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