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General NPI Number Information
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NPI Number | 1700870011
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Entity Type | Organization
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Legal Business Name | NASCENTIA COMMUNITY CARE
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1050 W GENESEE ST
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City | SYRACUSE
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State | NY
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Zip | 13204-2215
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Country | US
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Telephone | 315-641-2385
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 W GENESEE ST
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City | SYRACUSE
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State | NY
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Zip | 13204-2215
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Country | US
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Telephone | 315-641-2385
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. MARY KATE ROLF
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Credential |
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Telephone | 315-477-9595
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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 | 3301606
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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