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General NPI Number Information
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NPI Number | 1700077443
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Entity Type | Organization
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Legal Business Name | HERITAGE CHRISTIAN SERVICES INC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 349 WEST COMMERCIAL STREET SUITE 2795
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City | EAST ROCHESTER
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State | NY
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Zip | 14445
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Country | US
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Telephone | 585-340-2000
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Fax | 585-340-2006
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Provider Business Mailing Address
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Address Line | 349 WEST COMMERCIAL STREET SUITE 2795
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City | EAST ROCHESTER
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State | NY
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Zip | 14445
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Country | US
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Telephone | 585-340-2000
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Fax | 585-340-2006
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. MARISA GEITNER
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Credential |
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Telephone | 585-340-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1901L001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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