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NPI 1477590354

NPI 1477590354 : WESTFIELD HEALTHCARE CENTER, INC : WESTFIELD, NY

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General NPI Number Information
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    NPI Number           |    1477590354
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTFIELD HEALTHCARE CENTER, INC 
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Dates
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    Enumeration Date     |    06/01/2006
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    Last Update Date     |    08/01/2008
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Provider Practice Location Address
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    Address Line         |    26 CASS ST 
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    City                 |    WESTFIELD
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    State                |    NY
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    Zip                  |    14787-1113
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    Country              |    US
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    Telephone            |    716-326-4646
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    Fax                  |    716-326-4621
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Provider Business Mailing Address
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    Address Line         |    300 GLEED AVE THE PARK ASSOCIATES, INC.
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    City                 |    EAST AURORA
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    State                |    NY
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    Zip                  |    14052-2980
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    Country              |    US
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    Telephone            |    716-652-2820
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    Fax                  |    716-655-2320
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Authorized Official
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    Title or Position    |    TREASURER
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    Name                 |    MR. JOHN  SMITH 
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    Credential           |    
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    Telephone            |    716-805-1474
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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       |    0675301N
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    License Number State |    NY
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