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General NPI Number Information
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NPI Number | 1932182623
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Entity Type | Organization
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Legal Business Name | NORTHERN DUTCHESS RESIDENTIAL HEALTH CARE FACILITY INC.
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 6525 SPRING BROOK AVE
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City | RHINEBECK
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State | NY
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Zip | 12572-3709
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Country | US
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Telephone | 845-871-3760
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Fax | 845-871-3723
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Provider Business Mailing Address
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Address Line | 6525 SPRING BROOK AVE P.O. BOX 514
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City | RHINEBECK
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State | NY
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Zip | 12572-3709
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Country | US
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Telephone | 845-871-3760
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Fax | 845-871-3723
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | STEVEN ROSENBERG
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Credential |
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Telephone | 203-739-7240
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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 | 1327302N
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License Number State | NY
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