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General NPI Number Information
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NPI Number | 1821011305
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Entity Type | Organization
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Legal Business Name | BRUNSWICK HOSPITAL CENTER, INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 366 BROADWAY
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City | AMITYVILLE
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State | NY
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Zip | 11701-2711
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Country | US
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Telephone | 631-789-7225
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Fax | 631-789-4929
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Provider Business Mailing Address
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Address Line | 366 BROADWAY
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City | AMITYVILLE
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State | NY
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Zip | 11701-2711
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Country | US
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Telephone | 631-789-7225
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Fax | 631-789-4929
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Authorized Official
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Title or Position | CFO
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Name | MR. HARRY FRUHMAN
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Credential |
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Telephone | 631-789-7225
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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 | 5120000N
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License Number State | NY
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