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General NPI Number Information
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NPI Number | 1962893404
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Entity Type | Organization
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Legal Business Name | COGREEN SENIOR CARE, INC.
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 100 TOWN HALL DR
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City | HUDSON
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State | NY
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Zip | 12534-1213
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Country | US
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Telephone | 518-417-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 228 WATER ST
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City | CATSKILL
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State | NY
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Zip | 12414-1639
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Country | US
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Telephone | 518-417-2040
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. JUDE ANASTA
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Credential |
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Telephone | 518-417-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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