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General NPI Number Information
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NPI Number | 1538640792
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Entity Type | Organization
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Legal Business Name | LITTLE FALLS HOSPITAL
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 3085 BRIDGE STREET
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City | NEWPORT
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State | NY
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Zip | 13416-0408
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Country | US
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Telephone | 315-845-6100
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Fax | 315-845-6035
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Provider Business Mailing Address
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Address Line | 140 BURWELL STREET
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City | LITTLE FALLS
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State | NY
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Zip | 13365
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Country | US
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Telephone | 315-823-5281
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Fax | 315-823-5383
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Authorized Official
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Title or Position | CFO
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Name | JAMES VIELKIND
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Credential |
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Telephone | 315-823-5281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 2129700C
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License Number State | NY
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