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General NPI Number Information
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NPI Number | 1952402646
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Entity Type | Organization
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Legal Business Name | ROSA COPLON JEWISH HOME AND INFIRMARY - ADULT DAY HEALTH CARE
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 2700 N FOREST RD
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City | GETZVILLE
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State | NY
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Zip | 14068-1527
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Country | US
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Telephone | 716-639-3311
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Fax | 716-639-3309
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Provider Business Mailing Address
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Address Line | 2700 N FOREST RD
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City | GETZVILLE
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State | NY
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Zip | 14068-1527
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Country | US
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Telephone | 716-639-3311
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Fax | 716-639-3309
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHY NORSEN
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Credential |
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Telephone | 716-639-3311
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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 | 1451304N
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License Number State | NY
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