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General NPI Number Information
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NPI Number | 1518962620
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Entity Type | Organization
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Legal Business Name | COUNTY OF ULSTER NY
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 300 FLATBUSH AVE
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City | KINGSTON
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State | NY
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Zip | 12401-2740
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Country | US
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Telephone | 845-340-3080
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Fax | 845-340-3089
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Provider Business Mailing Address
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Address Line | 300 FLATBUSH AVE
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City | KINGSTON
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State | NY
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Zip | 12401-2740
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Country | US
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Telephone | 845-340-3080
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Fax | 845-340-3089
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | DR. LA MAR HASBROUCK
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Credential | MD, MPH
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Telephone | 845-340-3150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 5501901L
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License Number State | NY
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