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General NPI Number Information
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NPI Number | 1730335761
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Entity Type | Organization
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Legal Business Name | WILLING HELPERS HOME FOR WOMEN INC.
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 226 WEST MADISON AVE.
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City | JOHNSTOWN
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State | NY
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Zip | 12095
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Country | US
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Telephone | 518-762-7719
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Fax | 518-762-3415
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Provider Business Mailing Address
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Address Line | 226 WEST MADISON AVE.
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City | JOHNSTOWN
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State | NY
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Zip | 12095
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Country | US
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Telephone | 518-762-7719
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Fax | 518-762-3415
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TAMMY LEE KRUGER
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Credential | LPN
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Telephone | 518-762-7719
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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 | 280-E-008
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License Number State | NY
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