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General NPI Number Information
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NPI Number | 1518546324
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Entity Type | Organization
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Legal Business Name | WATERVILLE CENTER FOR HEALTH AND REHAB LLC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 7 HIGHWOOD ST
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City | WATERVILLE
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State | ME
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Zip | 04901-5739
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Country | US
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Telephone | 516-588-8801
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 ROCKAWAY AVE STE 210
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City | HEWLETT
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State | NY
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Zip | 11557-1678
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Country | US
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Telephone | 516-588-8801
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WATERVILLE REHAB
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Credential |
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Telephone | 516-588-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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