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General NPI Number Information
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NPI Number | 1235253394
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Entity Type | Organization
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Legal Business Name | TOMPKINS COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 55 BROWN RD
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City | ITHACA
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State | NY
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Zip | 14850-1247
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Country | US
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Telephone | 607-274-6641
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Fax | 607-274-6648
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Provider Business Mailing Address
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Address Line | 401 DATES DR
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City | ITHACA
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State | NY
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Zip | 14850-1344
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Country | US
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Telephone | 607-274-6641
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Fax | 607-274-6648
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Authorized Official
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Title or Position | PUBLIC HEALTH ADMINISTRATOR
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Name | MS. BRENDA GRINNELL CROSBY
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Credential |
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Telephone | 607-274-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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