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General NPI Number Information
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NPI Number | 1538320940
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Entity Type | Organization
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Legal Business Name | RIVERSTONE SENIOR LIFE SERVICES
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 99 FORT WASHINGTON AVE.
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City | NEW YORK CITY
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-927-5600
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Fax | 212-927-5612
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Provider Business Mailing Address
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Address Line | 99 FORT WASHINGTON AVE.
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City | NEW YORK CITY
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-927-5600
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Fax | 212-927-5612
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ILANA DORIT DUNNER
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Credential | LCSW
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Telephone | 212-927-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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