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General NPI Number Information
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NPI Number | 1790772150
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Entity Type | Organization
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Legal Business Name | WHITE OAKS REHABILITATION AND NURSING CENTER
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 8565 JERICHO TPKE
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City | WOODBURY
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State | NY
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Zip | 11797-1804
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Country | US
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Telephone | 516-367-3400
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Fax | 516-692-9627
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Provider Business Mailing Address
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Address Line | 8565 JERICHO TPKE
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City | WOODBURY
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State | NY
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Zip | 11797-1804
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Country | US
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Telephone | 516-367-3400
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Fax | 516-692-9627
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FRANK MISIANO
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Credential |
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Telephone | 516-367-3400
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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 | 2952306N
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License Number State | NY
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