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General NPI Number Information
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NPI Number | 1124099700
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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 | 01/31/2006
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Last Update Date | 11/16/2022
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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 | 13827-3209
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Country | US
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Telephone | 607-687-0200
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Fax | 607-687-0248
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Provider Business Mailing Address
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Address Line | 1062 STATE ROUTE 38 PO BOX 177
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City | OWEGO
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State | NY
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Zip | 13827-3209
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Country | US
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Telephone | 607-687-0200
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Fax | 607-687-0248
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Authorized Official
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Title or Position | DIRECTOR OF COMMUNITY SERVICES
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Name | MS. LORI MORGAN
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Credential | LCSW-R
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Telephone | 607-687-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6893100A/B
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License Number State | NY
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