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General NPI Number Information
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NPI Number | 1144358995
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Entity Type | Organization
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Legal Business Name | PUTNAM COUNTY HEALTH DEPARTMENT NURSING SERVICES
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 1 GENEVA RD
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City | BREWSTER
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State | NY
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Zip | 10509-2339
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Country | US
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Telephone | 845-278-6558
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Fax | 845-278-7921
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Provider Business Mailing Address
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Address Line | 1 GENEVA RD
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City | BREWSTER
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State | NY
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Zip | 10509-2339
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Country | US
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Telephone | 845-278-6558
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Fax | 845-278-7921
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Authorized Official
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Title or Position | COMMISSIONER OF HEALTH
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Name | DR. MICHAEL J NESHEIWAT
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Credential | MD, MS, FAAP
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Telephone | 845-278-6130
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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 | 251E00000X
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License Number State | NY
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