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General NPI Number Information
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NPI Number | 1295890457
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Entity Type | Organization
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Legal Business Name | ONTARIO COUNTY EARLY INTERVENTION
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 3019 COUNTY COMPLEX DRIVE
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City | CANANDAIGUA
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State | NY
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Zip | 14424-9505
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Country | US
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Telephone | 858-396-4343
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Fax | 585-396-4551
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Provider Business Mailing Address
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Address Line | 3019 COUNTY COMPLEX DRIVE
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City | CANANDAIGUA
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State | NY
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Zip | 14424-9505
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Country | US
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Telephone | 858-396-4343
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Fax | 585-396-4551
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Authorized Official
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Title or Position | DIRECTOR OF ONTARIO COUNTY PUBLIC H
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Name | MARY L. BEER
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Credential | RN MPH
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Telephone | 585-396-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NY
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