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General NPI Number Information
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NPI Number | 1245757723
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Entity Type | Organization
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Legal Business Name | CARTHAGE AREA HOSPITAL INC
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 08/25/2017
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Provider Practice Location Address
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Address Line | 117 N MECHANIC ST
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City | CARTHAGE
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State | NY
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Zip | 13619-1252
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Country | US
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Telephone | 315-493-4187
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Fax | 315-493-4188
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Provider Business Mailing Address
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Address Line | 1001 WEST ST
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City | CARTHAGE
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State | NY
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Zip | 13619-9703
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Country | US
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Telephone | 315-493-1000
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Fax | 315-493-0105
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Authorized Official
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Title or Position | CEO
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Name | RICHARD A DUVALL
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Credential |
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Telephone | 315-493-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NY
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Taxonomy #2
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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 | NY
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