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General NPI Number Information
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NPI Number | 1477639599
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Entity Type | Organization
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Legal Business Name | YATES COUNTY PUBLIC HEALTH
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 417 LIBERTY ST STE. 2120
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City | PENN YAN
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State | NY
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Zip | 14527-1100
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Country | US
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Telephone | 315-536-5160
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Fax | 315-536-5145
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Provider Business Mailing Address
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Address Line | 417 LIBERTY ST STE. 2120
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City | PENN YAN
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State | NY
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Zip | 14527-1100
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Country | US
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Telephone | 315-536-5160
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Fax | 315-536-5145
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | MRS. DEBORAH A MINOR
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Credential | RN
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Telephone | 315-536-5160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | NY
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