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General NPI Number Information
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NPI Number | 1972018232
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Entity Type | Organization
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Legal Business Name | FSNR SNF LLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 945 E 108TH ST
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City | BROOKLYN
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State | NY
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Zip | 11236-3003
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Country | US
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Telephone | 718-927-6346
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 ROCKAWAY PKWY
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City | BROOKLYN
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State | NY
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Zip | 11236-4001
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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 | CONTROLLER
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Name | NATHAN ZELCER
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Credential |
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Telephone | 718-927-6346
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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 |
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License Number State | NY
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