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General NPI Number Information
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NPI Number | 1841514791
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Entity Type | Organization
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Legal Business Name | ELCOR OPERATING COMPANY, LLC
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 48 COLONIAL DR
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City | HORSEHEADS
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State | NY
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Zip | 14845-8532
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Country | US
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Telephone | 607-739-0304
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Fax | 607-796-0540
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Provider Business Mailing Address
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Address Line | 300 GLEED AVE
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City | EAST AURORA
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State | NY
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Zip | 14052-2983
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Country | US
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Telephone | 716-687-2600
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Fax | 716-687-2700
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ISRAEL SHERMAN
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Credential |
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Telephone | 716-687-2600
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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 | NY
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