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General NPI Number Information
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NPI Number | 1831278951
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH'S HOSPITAL LONG TERM HEALTH
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 127 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-4006
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Country | US
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Telephone | 914-751-0364
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Fax | 914-965-0188
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Provider Business Mailing Address
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Address Line | 127 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-4006
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Country | US
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Telephone | 914-751-0364
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Fax | 914-965-0188
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR OF PT FIN SVC
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Name | MR. DOMINICK A DELIA JR.
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Credential |
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Telephone | 914-751-0364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 5907902L
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License Number State | NY
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