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General NPI Number Information
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NPI Number | 1649724311
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Entity Type | Organization
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Legal Business Name | ASTORIA HEALTH & REHAB
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 300 ASTORIA RD
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City | GERMANTOWN
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State | OH
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Zip | 45327-1712
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Country | US
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Telephone | 937-404-5836
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Fax |
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Provider Business Mailing Address
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Address Line | 300 ASTORIA RD
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City | GERMANTOWN
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State | OH
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Zip | 45327-1712
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Country | US
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Telephone | 937-404-5836
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE WILLIAMS
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Credential | COTA
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Telephone | 937-751-2279
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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 | 04734
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License Number State | OH
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