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General NPI Number Information
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NPI Number | 1942560537
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Entity Type | Organization
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Legal Business Name | VILLAGE SENIOR SERVICES CORPORATION
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 154 CHRISTOPHER ST 2D
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City | NEW YORK
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State | NY
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Zip | 10014-2840
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Country | US
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Telephone | 212-337-5600
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Fax | 212-924-7396
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Provider Business Mailing Address
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Address Line | 154 CHRISTOPHER ST 2D
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City | NEW YORK
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State | NY
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Zip | 10014-2840
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Country | US
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Telephone | 212-337-5600
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Fax | 212-924-7396
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Authorized Official
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Title or Position | CFO
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Name | SANJAY DUTT
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Credential |
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Telephone | 212-337-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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