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General NPI Number Information
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NPI Number | 1396145595
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Entity Type | Organization
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Legal Business Name | NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC. DBA CONNEXTCARE
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 120 E 1ST ST
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City | OSWEGO
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State | NY
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Zip | 13126
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Country | US
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Telephone | 315-342-0880
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Fax | 315-593-6195
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Provider Business Mailing Address
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Address Line | 61 DELANO ST
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City | PULASKI
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State | NY
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Zip | 13142-1400
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Country | US
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Telephone | 315-298-6564
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Fax | 315-298-3968
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | TRACY WIMMER
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Credential |
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Telephone | 315-298-6569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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