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General NPI Number Information
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NPI Number | 1689656852
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Entity Type | Organization
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Legal Business Name | CUBA MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 140 W MAIN ST
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City | CUBA
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State | NY
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Zip | 14727-1317
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Country | US
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Telephone | 585-968-2000
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Fax | 585-968-2635
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Provider Business Mailing Address
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Address Line | 140 W MAIN ST
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City | CUBA
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State | NY
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Zip | 14727-1317
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Country | US
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Telephone | 585-968-2000
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Fax | 585-968-2635
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Authorized Official
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Title or Position | CEO
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Name | NORMA KERLING
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Credential |
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Telephone | 585-968-6751
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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 | 0226000N
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License Number State | NY
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