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General NPI Number Information
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NPI Number | 1013138080
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Entity Type | Organization
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Legal Business Name | ELCOR HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 48 COLONIAL DR
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City | HORSEHEADS
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State | NY
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Zip | 14845-8532
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Country | US
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Telephone | 607-739-0304
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Fax | 607-796-0540
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Provider Business Mailing Address
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Address Line | 48 COLONIAL DR
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City | HORSEHEADS
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State | NY
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Zip | 14845-8532
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Country | US
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Telephone | 607-739-0304
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Fax | 607-796-0540
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD W. POES
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Credential |
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Telephone | 607-739-0304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 0722303N
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License Number State | NY
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