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General NPI Number Information
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NPI Number | 1982998795
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Entity Type | Organization
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Legal Business Name | STAMFORD HEALTH CARE SOCIETY
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | ONE BUNTLINE DR
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City | STAMFORD
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State | NY
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Zip | 12167
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Country | US
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Telephone | 607-652-2960
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Fax | 607-652-2962
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Provider Business Mailing Address
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Address Line | 1 BUNTLINE DR
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City | STAMFORD
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State | NY
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Zip | 12167-1237
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Country | US
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Telephone | 607-652-2960
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Fax | 607-652-2962
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AMY E HASAK
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Credential |
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Telephone | 607-652-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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