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General NPI Number Information
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NPI Number | 1548719396
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Entity Type | Organization
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Legal Business Name | CVO HOME FOR FEMALE VETERANS INC
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 93 BARRETTS AVE
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City | HOLTSVILLE
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State | NY
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Zip | 11742-2114
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Country | US
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Telephone | 631-758-2753
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Fax | 631-475-8819
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Provider Business Mailing Address
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Address Line | 93 BARRETTS AVE
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City | HOLTSVILLE
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State | NY
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Zip | 11742-2114
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Country | US
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Telephone | 631-758-2753
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Fax | 631-475-8819
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. CHERYL MARTIN
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Credential | RN
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Telephone | 631-431-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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