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General NPI Number Information
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NPI Number | 1467907584
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Entity Type | Organization
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Legal Business Name | HEBREW HOME FOR HEALTH AND REHABILITATION LLC
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 02/24/2017
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Provider Practice Location Address
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Address Line | 1 ABRAHMS BLVD
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1508
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Country | US
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Telephone | 860-523-3993
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Fax | 860-523-3816
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Provider Business Mailing Address
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Address Line | 20 E SUNRISE HWY 2ND FLOOR
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1260
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Country | US
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Telephone | 516-705-4802
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. BARRY BOKOW
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Credential |
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Telephone | 516-705-4802
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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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