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General NPI Number Information
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NPI Number | 1730171547
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Entity Type | Organization
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Legal Business Name | UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC.
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 2180 EMPIRE BLVD
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City | WEBSTER
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State | NY
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Zip | 14580-2029
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Country | US
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Telephone | 585-787-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 2180 EMPIRE BLVD
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City | WEBSTER
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State | NY
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Zip | 14580-2029
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | GREG T HUTTON
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Credential |
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Telephone | 585-274-4225
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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 | 2701901L
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2701602
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License Number State | NY
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