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General NPI Number Information
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NPI Number | 1881559037
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Entity Type | Organization
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Legal Business Name | THE TERRACE AT GLEN EDDY
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1 ASCOT LN
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City | NISKAYUNA
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State | NY
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Zip | 12309-4962
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Country | US
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Telephone | 518-280-8361
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ASCOT LN
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City | NISKAYUNA
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State | NY
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Zip | 12309-4962
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Country | US
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Telephone | 518-280-8361
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Fax | 518-280-8379
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Authorized Official
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Title or Position | RESIDENT SERVICES MANAGER
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Name | JACQUELINE B REILLY
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Credential | RN
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Telephone | 518-280-8360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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