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General NPI Number Information
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NPI Number | 1801893383
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Entity Type | Organization
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Legal Business Name | ROSA COPLON JEWISH HOME AND INFIRMARY
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 2700 N FOREST RD
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City | GETZVILLE
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State | NY
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Zip | 14068-1527
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Country | US
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Telephone | 716-639-3311
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Fax | 716-639-3309
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Provider Business Mailing Address
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Address Line | 2700 N FOREST RD
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City | GETZVILLE
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State | NY
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Zip | 14068-1527
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Country | US
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Telephone | 716-639-3311
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Fax | 716-639-3309
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. ROBERT T. MAYER
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Credential |
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Telephone | 716-639-3311
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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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