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General NPI Number Information
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NPI Number | 1548323157
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Entity Type | Organization
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Legal Business Name | NEW VANDERBILT REHABILITATION AND CARE CENTER INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 135 VANDERBILT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2604
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Country | US
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Telephone | 718-447-0701
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Fax | 718-447-2952
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Provider Business Mailing Address
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Address Line | 135 VANDERBILT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2604
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Country | US
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Telephone | 718-447-0701
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Fax | 718-447-2952
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Authorized Official
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Title or Position | DIRECTOR OF ACCOUNTS RECEIVABLES
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Name | MS. KAREN FIGUEROA
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Credential |
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Telephone | 718-447-0701
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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 | 7004316N
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License Number State | NY
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