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General NPI Number Information
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NPI Number | 1184316507
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Entity Type | Organization
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Legal Business Name | CORTLAND COUNTY COUNTY TREASURER
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 7 CLAYTON AVE
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City | CORTLAND
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State | NY
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Zip | 13045-2501
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Country | US
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Telephone | 607-758-6100
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Fax | 607-758-6116
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Provider Business Mailing Address
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Address Line | 7 CLAYTON AVE
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City | CORTLAND
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State | NY
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Zip | 13045-2501
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Country | US
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Telephone | 607-758-6100
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Fax | 607-758-6116
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATIVE OFFICER
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Name | NANCY J SMITH
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Credential |
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Telephone | 607-758-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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