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General NPI Number Information
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NPI Number | 1447520937
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Entity Type | Organization
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Legal Business Name | WATKINS GLEN CENTRAL SCHOOL DISTRICT
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 301 12TH ST
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City | WATKINS GLEN
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State | NY
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Zip | 14891-1633
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Country | US
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Telephone | 607-535-3212
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Fax | 607-535-3262
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Provider Business Mailing Address
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Address Line | 301 12TH ST
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City | WATKINS GLEN
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State | NY
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Zip | 14891-1633
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Country | US
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Telephone | 607-535-3212
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Fax | 607-535-3262
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Authorized Official
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Title or Position | NURSING COORDINATOR
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Name | CHRISTY L WILLIAMS
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Credential | RN
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Telephone | 607-535-3212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 545499
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License Number State | NY
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