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General NPI Number Information
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NPI Number | 1518112077
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Entity Type | Organization
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Legal Business Name | ESSEX COUNTY PUBLIC HEALTH NURSING SERVICE
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 132 WATER ST.
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-0217
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Country | US
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Telephone | 518-873-3500
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Fax | 518-873-3539
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Provider Business Mailing Address
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Address Line | 132 WATER STREET
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-0217
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Country | US
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Telephone | 518-873-3500
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Fax | 518-873-3539
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Authorized Official
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Title or Position | FISCAL ADMINISTRATOR
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Name | MR. JOHN DANA KNOX
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Credential |
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Telephone | 518-873-3503
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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 |
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