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General NPI Number Information
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NPI Number | 1124118104
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Entity Type | Organization
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Legal Business Name | ST LUKE'S CORNWALL HOSPITAL
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 19 LAUREL AVE ST LUKE'S CORNWALL HOSPITAL, FINANCE DEPT
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City | CORNWALL
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State | NY
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Zip | 12518-1403
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Country | US
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Telephone | 845-458-4023
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Fax | 845-458-4040
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Provider Business Mailing Address
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Address Line | 19 LAUREL AVE ST LUKE'S CORNWALL HOSPITAL, FINANCE DEPT
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City | CORNWALL
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State | NY
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Zip | 12518-1403
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Country | US
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Telephone | 845-458-4023
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Fax | 845-458-4040
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | JILL G BARTON
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Credential |
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Telephone | 845-458-4023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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