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General NPI Number Information
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NPI Number | 1235749979
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Entity Type | Organization
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Legal Business Name | LEWIS COUNTY GENERAL HOSPITAL
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | COPENHAGEN HEALTH CENTER 9732 STATE ROUTE 12
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City | COPENHAGEN
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State | NY
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Zip | 13626-1362
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Country | US
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Telephone | 315-688-2305
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Fax |
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Provider Business Mailing Address
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Address Line | LEWIS COUNTY GENERAL HOSPITAL 7785N STATE ST
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City | LOWVILLE
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State | NY
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Zip | 13367
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Country | US
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Telephone | 315-376-5246
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Fax | 315-376-9317
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MICHELE ANN PRINCE
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Credential |
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Telephone | 315-376-5246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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