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General NPI Number Information
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NPI Number | 1457346991
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Entity Type | Organization
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Legal Business Name | COUNTY OF CATTARAUGUS
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 9822 ROUTE 16 BOX 310
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City | MACHIAS
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State | NY
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Zip | 14101-9771
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Country | US
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Telephone | 716-353-4316
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Fax | 716-353-8516
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Provider Business Mailing Address
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Address Line | 9822 ROUTE 16 BOX 310
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City | MACHIAS
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State | NY
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Zip | 14101-9771
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Country | US
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Telephone | 716-353-4316
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Fax | 716-353-8516
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Authorized Official
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Title or Position | CONTROLLER
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Name | CAROL V GUGINO
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Credential |
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Telephone | 716-373-1910
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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 | 0469300N
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License Number State | NY
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