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General NPI Number Information
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NPI Number | 1609863232
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Entity Type | Organization
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Legal Business Name | JOPAL LLC BARNWELL NURSING & REHAB CTR.
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 3230 CHURCH ST
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City | VALATIE
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State | NY
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Zip | 12184-2303
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Country | US
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Telephone | 518-758-6222
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Fax | 518-758-9199
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Provider Business Mailing Address
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Address Line | 3230 CHURCH ST
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City | VALATIE
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State | NY
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Zip | 12184-2303
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Country | US
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Telephone | 518-758-6222
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Fax | 518-758-9199
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Authorized Official
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Title or Position | DIRECTOR OF RESIDENT CARE
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Name | MRS. ROSALIE JENNIE JOHNSON
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Credential | R.N.C.
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Telephone | 518-758-6222
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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 | 1023301N
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License Number State | NY
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