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General NPI Number Information
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NPI Number | 1134277122
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Entity Type | Organization
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Legal Business Name | GREENE COUNTY PUBLIC HEALTH
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 411 MAIN STREET 3RD FLOOR, SUITE 300
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City | CATSKILL
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State | NY
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Zip | 12414-1366
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Country | US
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Telephone | 518-719-3600
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Fax | 518-719-3779
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Provider Business Mailing Address
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Address Line | 411 MAIN STREET 3RD FLOOR, SUITE 300
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City | CATSKILL
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State | NY
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Zip | 12414-1366
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Country | US
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Telephone | 518-719-3600
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Fax | 518-719-3779
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Authorized Official
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Title or Position | DSCSN
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Name | LAUREN CLARK
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Credential | BSN
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Telephone | 518-719-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 1952600
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License Number State | NY
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