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General NPI Number Information
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NPI Number | 1366357444
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Entity Type | Organization
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Legal Business Name | LEWIS COUNTY
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 5252 OUTER STOWE STREET
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City | LOWVILLE
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State | NY
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Zip | 13367
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Country | US
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Telephone | 315-376-3511
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Fax | 315-376-6177
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Provider Business Mailing Address
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Address Line | 7660 NORTH STATE STREET
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City | LOWVILLE
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State | NY
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Zip | 13367
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | JAIL WARDEN/LIEUTENANT
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Name | MR. TIMOTHY THAYER
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Credential |
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Telephone | 315-376-5290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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