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General NPI Number Information
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NPI Number | 1518094333
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Entity Type | Organization
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Legal Business Name | ABSOLUT CENTER FOR NURSING AND REHABILITATION AT ORCHARD PARK, LLC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 10/10/2014
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Provider Practice Location Address
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Address Line | 6060 ARMOR DUELLS RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-3126
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Country | US
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Telephone | 716-662-4433
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Fax | 716-662-6752
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Provider Business Mailing Address
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Address Line | 300 GLEED AVE
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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 |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. ISRAEL SHERMAN
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Credential |
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Telephone | 716-652-2820
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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 | 1435303N
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License Number State | NY
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