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General NPI Number Information
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NPI Number | 1710592605
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Entity Type | Organization
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Legal Business Name | HAMLET AT WALLKILL
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 21 RIVERSIDE DR
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4048
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Country | US
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Telephone | 845-695-5600
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Fax | 845-695-5601
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Provider Business Mailing Address
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Address Line | 21 RIVERSIDE DR
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City | MIDDLETOWN
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State | NY
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Zip | 10941-4048
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Country | US
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Telephone | 845-695-5600
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Fax | 845-695-5601
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MARYANN CRENNY
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Credential |
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Telephone | 914-305-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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