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General NPI Number Information
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NPI Number | 1285706655
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Entity Type | Organization
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Legal Business Name | NATHAN LITTAUER HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/05/2017
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Provider Practice Location Address
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Address Line | 99 E STATE ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-1203
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Country | US
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Telephone | 518-773-5583
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Fax | 518-773-5749
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Provider Business Mailing Address
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Address Line | 99 E STATE ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-1203
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Country | US
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Telephone | 518-773-5583
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Fax | 518-773-5749
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | MR. DAVID J SCHAFF
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Credential | RPH
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Telephone | 518-773-5583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 013094
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License Number State | NY
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