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General NPI Number Information
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NPI Number | 1417012311
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTER OF ST. MARY'S HEALTHCARE & NATHAN LITTAUER HOS
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 2-8 W MAIN ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-2308
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Country | US
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Telephone | 518-762-8215
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Fax |
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Provider Business Mailing Address
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Address Line | 2-8 W MAIN ST
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City | JOHNSTOWN
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State | NY
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Zip | 12095-2308
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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 | CEO
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Name | MRS. MILDRED P FERRITER
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Credential |
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Telephone | 518-762-8215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1758601
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License Number State | NY
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