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General NPI Number Information
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NPI Number | 1093985293
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Entity Type | Organization
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Legal Business Name | LIVINGSTON-WYOMING ARC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 18 MAIN ST
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City | MOUNT MORRIS
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State | NY
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Zip | 14510-1036
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Country | US
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Telephone | 585-658-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MAIN ST
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City | MOUNT MORRIS
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State | NY
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Zip | 14510-1036
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Country | US
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Telephone | 585-658-2828
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING MANAGER
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Name | KATHLEEN LENNOX
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Credential |
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Telephone | 585-658-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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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 | 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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