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General NPI Number Information
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NPI Number | 1396805073
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Entity Type | Organization
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Legal Business Name | CLAXTON-HEPBURN MEDICAL CENTER
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 214 KING ST
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City | OGDENSBURG
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State | NY
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Zip | 13669-1142
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Country | US
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Telephone | 315-393-8880
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Fax | 315-393-7250
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Provider Business Mailing Address
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Address Line | 214 KING ST
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City | OGDENSBURG
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State | NY
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Zip | 13669-1142
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Country | US
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Telephone | 315-393-8880
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Fax | 319-393-7250
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Authorized Official
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Title or Position | DIRECTOR OF TREASURY
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Name | MR. SARAH MILLER
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Credential |
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Telephone | 315-519-5704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 4401000H
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License Number State | NY
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