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General NPI Number Information
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NPI Number | 1114137544
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Entity Type | Organization
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Legal Business Name | FULTON COUNTY PUBLIC HEALTH
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 2714 ST HWY 29
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City | JOHNSTOWN
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State | NY
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Zip | 12095-0415
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Country | US
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Telephone | 518-736-5720
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Fax | 518-762-1382
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Provider Business Mailing Address
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Address Line | 2714 ST HWY 29 P.O.BOX 415
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City | JOHNSTOWN
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State | NY
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Zip | 12095-0415
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Country | US
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Telephone | 518-736-5720
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Fax | 518-762-1382
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Authorized Official
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Title or Position | DIRECTOR OF PUBLIC HEALTH
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Name | DR. IRINA GELMAN
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Credential | DPM
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Telephone | 518-736-5720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1116L001
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License Number State | NY
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