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General NPI Number Information
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NPI Number | 1568534055
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Entity Type | Organization
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Legal Business Name | DEPAUL ADULT CARE
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 1931 BUFFALO RD
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City | ROCHESTER
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State | NY
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Zip | 14624-1535
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Country | US
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Telephone | 585-464-8870
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Fax | 585-464-8077
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Provider Business Mailing Address
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Address Line | 1931 BUFFALO RD
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City | ROCHESTER
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State | NY
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Zip | 14624-1535
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Country | US
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Telephone | 585-464-8870
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Fax | 585-464-8077
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Authorized Official
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Title or Position | CFO
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Name | MR. JAMES M. WHALEN
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Credential |
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Telephone | 585-426-8000
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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 | HAL034028
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License Number State | NC
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