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NPI 1043334485

NPI 1043334485 : ALBANY COUNTY : ALBANY, NY

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General NPI Number Information
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    NPI Number           |    1043334485
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALBANY COUNTY 
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Dates
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    Enumeration Date     |    03/19/2007
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    Last Update Date     |    07/25/2012
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Provider Practice Location Address
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    Address Line         |    175 GREEN STREET 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12202-2011
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    Country              |    US
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    Telephone            |    518-447-4580
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    Fax                  |    518-447-4573
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Provider Business Mailing Address
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    Address Line         |    175 GREEN STREET 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12202-2011
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    Country              |    US
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    Telephone            |    518-447-4580
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    Fax                  |    518-447-4573
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Authorized Official
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    Title or Position    |    COMMISSIONER OF HEALTH
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    Name                 |    DR. JAMES B CRUCETTI 
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    Credential           |    MD, MPH
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    Telephone            |    518-447-4695
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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       |    1440L001
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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