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General NPI Number Information
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NPI Number | 1891989794
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Entity Type | Organization
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Legal Business Name | RESOURCE CENTER FOR INDEPENDENT LIVING
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 131 GENESEE ST
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City | UTICA
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State | NY
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Zip | 13501-2105
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Country | US
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Telephone | 315-797-4642
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Fax | 315-797-4747
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Provider Business Mailing Address
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Address Line | 131 GENESEE STREET PO BOX 210
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City | UTICA
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State | NY
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Zip | 13501-0210
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Country | US
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Telephone | 315-797-4642
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Fax | 315-797-4747
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ZVIA MCCORMICK
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Credential |
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Telephone | 315-797-4642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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