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General NPI Number Information
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NPI Number | 1477921807
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Entity Type | Organization
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Legal Business Name | DIGNITY PLUS, INC
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 675 SOUTH MAIN STREET
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036
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Country | US
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Telephone | 315-668-9381
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Fax | 315-668-2924
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Provider Business Mailing Address
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Address Line | P.O. BOX 173
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036
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Country | US
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Telephone | 315-668-9381
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Fax | 315-668-2924
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. CHAD WHITHAM PENOYER
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Credential |
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Telephone | 315-668-9381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9269L001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 9269L001
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 9269L001
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 9269L001
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License Number State | NY
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