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General NPI Number Information
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NPI Number | 1548300478
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Entity Type | Organization
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Legal Business Name | SETON HOME HEALTH CARE
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 10/12/2010
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Provider Practice Location Address
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Address Line | 1 ROSS TECH PARK
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City | TROY
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State | NY
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Zip | 12180-1150
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Country | US
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Telephone | 518-233-1802
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Fax | 518-233-1808
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Provider Business Mailing Address
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Address Line | PO BOX 689
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City | TROY
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State | NY
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Zip | 12181-0689
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Country | US
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Telephone | 518-268-5000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SCOTT ST. GEORGE
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Credential |
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Telephone | 518-268-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4102603
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License Number State | NY
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