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General NPI Number Information
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NPI Number | 1245299726
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Entity Type | Organization
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Legal Business Name | GARNET HEALTH MEDICAL CENTER
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 05/29/2020
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Provider Practice Location Address
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Address Line | 707 EAST MAIN STREET
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City | MIDDLETOWN
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State | NY
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Zip | 10940
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Country | US
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Telephone | 845-333-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 707 EAST MAIN STREET
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City | MIDDLETOWN
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State | NY
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Zip | 10940
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Country | US
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Telephone | 845-333-1000
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Fax |
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Authorized Official
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Title or Position | VP REVENUE STRATEGY
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Name | WILLIAM LOUIS SCHEUERMANN
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Credential |
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Telephone | 845-333-7458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 3523000H
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License Number State | NY
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