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General NPI Number Information
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NPI Number | 1942860077
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Entity Type | Organization
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Legal Business Name | THE ELIOT AT NEW ROCHELLE LLC
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 41 LOCKWOOD AVE
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5023
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Country | US
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Telephone | 914-576-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 167 ROUTE 304
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City | BARDONIA
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State | NY
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Zip | 10954-2050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | GREGG ROSEN
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Credential |
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Telephone | 845-363-8168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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