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General NPI Number Information
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NPI Number | 1972687655
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Entity Type | Organization
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Legal Business Name | IROP LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/16/2017
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Provider Practice Location Address
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Address Line | 17 MADISON ST
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City | GRANVILLE
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State | NY
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Zip | 12832-1221
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Country | US
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Telephone | 518-642-2710
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Fax | 518-642-1318
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Provider Business Mailing Address
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Address Line | 4770 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10470-1104
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Country | US
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Telephone | 718-931-9700
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | NATHAN STERN
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Credential |
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Telephone | 732-942-1344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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