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General NPI Number Information
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NPI Number | 1376647602
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Entity Type | Organization
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Legal Business Name | COLUMBIA COUNTY
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 201 MAIN STREET RTE 217
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City | PHILMONT
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State | NY
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Zip | 12565-0785
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Country | US
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Telephone | 518-672-7408
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Fax | 518-672-4721
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Provider Business Mailing Address
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Address Line | PO BOX 785
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City | PHILMONT
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State | NY
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Zip | 12565-0785
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Country | US
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Telephone | 518-672-7408
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Fax | 518-672-4721
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Authorized Official
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Title or Position | CONTROLLER
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Name | TERRY ROBINSON
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Credential |
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Telephone | 518-672-7408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1021300N
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License Number State | NY
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