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General NPI Number Information
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NPI Number | 1487796975
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Entity Type | Organization
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Legal Business Name | MADISON COUNTY
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 138 NORTH COURT ST BUILDING 5
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City | WAMPSVILLE
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State | NY
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Zip | 13163-0605
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Country | US
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Telephone | 315-366-2501
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Fax | 315-366-2207
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Provider Business Mailing Address
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Address Line | PO BOX 605
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City | WAMPSVILLE
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State | NY
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Zip | 13163-0605
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Country | US
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Telephone | 315-366-2501
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Fax | 315-366-2566
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | MR. ERIC FAISST
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Credential |
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Telephone | 315-366-2501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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