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General NPI Number Information
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NPI Number | 1346612298
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Entity Type | Organization
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Legal Business Name | WARREN COUNTY
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 1340 STATE ROUTE 9
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City | LAKE GEORGE
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State | NY
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Zip | 12845-3434
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Country | US
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Telephone | 518-761-6347
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 STATE ROUTE 9
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City | LAKE GEORGE
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State | NY
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Zip | 12845-3434
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Country | US
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Telephone | 518-761-6347
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Fax |
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Authorized Official
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Title or Position | FISCAL MANAGER
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Name | CYNTHIA ROSS
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Credential |
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Telephone | 518-824-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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