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NPI 1750453148

NPI 1750453148 : THE DANFORTH ADULT CARE CENTER : HOOSICK FALLS, NY

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General NPI Number Information
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    NPI Number           |    1750453148
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE DANFORTH ADULT CARE CENTER 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    19 DANFORTH ST 
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    City                 |    HOOSICK FALLS
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    State                |    NY
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    Zip                  |    12090-1223
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    Country              |    US
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    Telephone            |    518-686-5167
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    Fax                  |    518-686-4428
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Provider Business Mailing Address
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    Address Line         |    19 DANFORTH ST 
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    City                 |    HOOSICK FALLS
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    State                |    NY
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    Zip                  |    12090-1223
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    Country              |    US
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    Telephone            |    518-686-5167
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    Fax                  |    518-686-4428
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. DONNA J. HOPKINS 
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    Credential           |    
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    Telephone            |    518-686-5167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    344600000X
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    Taxonomy Name        |    Taxi
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    License Number       |    CJD8027
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    License Number State |    NY
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