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General NPI Number Information
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NPI Number | 1023166691
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Entity Type | Organization
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Legal Business Name | TOMPKINS COUNTY
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 55 BROWN RD
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City | ITHACA
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State | NY
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Zip | 14850-1247
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Country | US
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Telephone | 607-274-6604
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Fax | 607-274-6620
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Provider Business Mailing Address
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Address Line | 55 BROWN RD
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City | ITHACA
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State | NY
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Zip | 14850-1247
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Country | US
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Telephone | 607-274-6604
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Fax | 607-274-6620
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Authorized Official
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Title or Position | PUBLIC HEALTH ADMINISTRATOR
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Name | MRS. BRENDA L GRINNELL-CROSBY
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Credential |
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Telephone | 607-274-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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