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General NPI Number Information
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NPI Number | 1760437362
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Entity Type | Organization
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Legal Business Name | GROTON COMMUNITY HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 120 SYKES STREET
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City | GROTON
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State | NY
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Zip | 13073
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Country | US
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Telephone | 607-898-5876
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Fax | 607-898-3034
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Provider Business Mailing Address
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Address Line | 120 SYKES STREET
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City | GROTON
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State | NY
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Zip | 13073
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Country | US
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Telephone | 607-898-5876
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Fax | 607-898-3034
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | PATRICK MICHAEL DEPTULA
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Credential | PRESIDENT/CEO
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Telephone | 607-898-5876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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