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General NPI Number Information
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NPI Number | 1144792052
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Entity Type | Organization
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Legal Business Name | MADISON COUNTY RURAL HEALTH COUNCIL, INC.
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 2662 US ROUTE 20 STE 1
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City | CAZENOVIA
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State | NY
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Zip | 13035-9565
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Country | US
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Telephone | 607-316-2175
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 430
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City | CAZENOVIA
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State | NY
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Zip | 13035-0430
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Country | US
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Telephone | 315-313-4399
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Fax |
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Authorized Official
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Title or Position | DEPUTY DIRECTOR
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Name | STEPHANIE HENRY
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Credential |
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Telephone | 315-313-4399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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