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NPI 1083742720

NPI 1083742720 : BROOME COUNTY HEALTH DEPT : BINGHAMTON, NY

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General NPI Number Information
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    NPI Number           |    1083742720
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    Entity Type          |    Organization 
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    Legal Business Name  |    BROOME COUNTY HEALTH DEPT 
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Dates
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    Enumeration Date     |    03/02/2007
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    Last Update Date     |    03/06/2015
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Provider Practice Location Address
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    Address Line         |    225 FRONT ST 
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    City                 |    BINGHAMTON
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    State                |    NY
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    Zip                  |    13905-2424
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    Country              |    US
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    Telephone            |    607-778-2802
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    225 FRONT ST 
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    City                 |    BINGHAMTON
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    State                |    NY
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    Zip                  |    13905-2424
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    Country              |    US
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    Telephone            |    607-778-2802
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF PUBLIC HEALTH
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    Name                 |    MRS. CLAUDIA A EDWARDS 
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    Credential           |    MS
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    Telephone            |    607-778-2802
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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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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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