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General NPI Number Information
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NPI Number | 1528387768
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Entity Type | Organization
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Legal Business Name | CRNC OPERATING LLC.
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 8 DANA ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5402
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Country | US
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Telephone | 617-864-4267
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Fax | 914-597-7622
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Provider Business Mailing Address
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Address Line | 20 WOOD CT
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City | TARRYTOWN
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State | NY
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Zip | 10591-3108
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Country | US
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Telephone | 914-631-2600
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Fax | 914-597-7622
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Authorized Official
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Title or Position | OWNER
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Name | MR. EPHRAIM ZAGELBAUM
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Credential |
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Telephone | 914-597-7600
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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 | MA
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