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General NPI Number Information
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NPI Number | 1013928159
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Entity Type | Organization
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Legal Business Name | HUDSON HEADWATERS HEALTH NETWORK
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 3767 MAIN ST
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City | WARRENSBURG
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State | NY
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Zip | 12885-1890
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Country | US
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Telephone | 518-623-2844
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Fax | 518-623-3416
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Provider Business Mailing Address
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Address Line | 9 CAREY RD
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City | QUEENSBURY
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State | NY
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Zip | 12804-7880
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Country | US
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Telephone | 518-761-0300
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Fax | 518-824-2388
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Authorized Official
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Title or Position | EXECUTIVE VP OF FINANCE / CFO
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Name | CHRISTOPHER TOURNIER
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Credential |
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Telephone | 518-761-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 5660200R
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NY
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | NY
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Taxonomy #13
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State | NY
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Taxonomy #14
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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