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General NPI Number Information
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NPI Number | 1841262904
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Entity Type | Organization
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Legal Business Name | LAWRENCE NURSING CARE CENTER, INC.
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 350 BEACH 54TH ST
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City | ARVERNE
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State | NY
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Zip | 11692-1782
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Country | US
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Telephone | 718-945-0400
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Fax | 718-634-4195
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Provider Business Mailing Address
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Address Line | 350 BEACH 54TH ST
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City | ARVERNE
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State | NY
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Zip | 11692-1782
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Country | US
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Telephone | 718-945-0400
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Fax | 718-945-5954
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MICHAEL KRAUS
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Credential |
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Telephone | 718-945-0400
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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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