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General NPI Number Information
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NPI Number | 1033311675
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Entity Type | Organization
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Legal Business Name | CAYUGA HEALTH ASSOCIATION, INC.
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 8 HULBERT ST
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City | AUBURN
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State | NY
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Zip | 13021-3430
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Country | US
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Telephone | 315-255-2211
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Fax | 315-253-3834
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Provider Business Mailing Address
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Address Line | 8 HULBERT ST
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City | AUBURN
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State | NY
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Zip | 13021-3430
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Country | US
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Telephone | 315-255-2211
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Fax | 315-253-3834
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. KENNETH G. KNIGHT
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Credential |
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Telephone | 315-255-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0259L001
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License Number State | NY
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