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General NPI Number Information
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NPI Number | 1285027458
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF CHENANGO COUNTY
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 3 OHARA DR
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City | NORWICH
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State | NY
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Zip | 13815-2046
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Country | US
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Telephone | 607-334-8244
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Fax | 607-336-5779
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Provider Business Mailing Address
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Address Line | 3 OHARA DR
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City | NORWICH
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State | NY
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Zip | 13815-2046
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Country | US
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Telephone | 607-334-8244
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Fax | 607-336-5779
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MRS. DEBORAH R. KING
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Credential |
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Telephone | 607-334-8244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 7893430
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License Number State | NY
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