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General NPI Number Information
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NPI Number | 1073328555
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Entity Type | Organization
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Legal Business Name | CARTHAGE AREA HOSPITAL INC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 214 KING ST STE A
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City | OGDENSBURG
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State | NY
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Zip | 13669-1142
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Country | US
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Telephone | 315-393-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 WEST ST
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City | CARTHAGE
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State | NY
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Zip | 13619-9703
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Country | US
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Telephone | 315-519-5724
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHARD DUVALL
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Credential |
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Telephone | 315-519-5207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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