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General NPI Number Information
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NPI Number | 1114356581
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Entity Type | Organization
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Legal Business Name | TIOGA COUNTY
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 1062 STATE ROUTE 38
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City | OWEGO
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State | NY
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Zip | 13827-0120
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Country | US
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Telephone | 607-687-8600
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Fax | 607-687-8486
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Provider Business Mailing Address
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Address Line | P.O. BOX 120 1062 STATE ROUTE 38
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City | OWEGO
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State | NY
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Zip | 13827
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Country | US
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Telephone | 607-687-8600
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Fax | 607-687-8486
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATIVE SERVICES
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Name | DENIS G. MCCANN
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Credential |
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Telephone | 607-687-8604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2166L001
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License Number State | NY
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