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General NPI Number Information
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NPI Number | 1598005886
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Entity Type | Organization
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Legal Business Name | BEECH DEVELOPMENT CORP
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 3380 MONROE AVE STE 116
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City | ROCHESTER
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State | NY
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Zip | 14618-4726
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Country | US
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Telephone | 585-381-5439
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Fax | 888-350-0210
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Provider Business Mailing Address
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Address Line | 3380 MONROE AVE STE 116
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City | ROCHESTER
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State | NY
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Zip | 14618-4726
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Country | US
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Telephone | 585-381-5439
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Fax | 888-350-0210
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK S JUDD
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Credential | NYS LHCSA
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Telephone | 585-381-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | LHCSA-2226-L001
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License Number State | NY
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