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General NPI Number Information
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NPI Number | 1538180286
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Entity Type | Organization
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Legal Business Name | COUNTY OF GENESEE
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 278 BANK ST
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City | BATAVIA
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State | NY
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Zip | 14020-1616
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Country | US
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Telephone | 585-344-0584
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Fax | 585-344-4685
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Provider Business Mailing Address
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Address Line | 278 BANK ST
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City | BATAVIA
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State | NY
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Zip | 14020-1616
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Country | US
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Telephone | 585-344-0584
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Fax | 585-344-4685
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Authorized Official
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Title or Position | DIRECTOR OF NURSING INTERIM ADMINIS
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Name | DAWN M CANALE
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Credential | RN BSN
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Telephone | 585-344-0584
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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 | 1801304N
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License Number State | NY
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