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General NPI Number Information
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NPI Number | 1043721921
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Entity Type | Organization
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Legal Business Name | MIDHUDSON REGIONAL HOSPITAL
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 241 NORTH RD
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1154
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Country | US
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Telephone | 845-483-5513
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Fax |
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Provider Business Mailing Address
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Address Line | 95 TIVOLI GDNS
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City | TIVOLI
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State | NY
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Zip | 12583-5428
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Country | US
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Telephone | 845-901-1033
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | TARA HILBRANDT
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Credential |
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Telephone | 845-483-5513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 533989
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License Number State | NY
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