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General NPI Number Information
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NPI Number | 1558412163
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Entity Type | Organization
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Legal Business Name | LEWIS COUNTY
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 7785 N STATE ST SUITE 2
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City | LOWVILLE
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State | NY
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Zip | 13367-1229
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Country | US
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Telephone | 315-376-5453
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Fax | 315-376-7013
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Provider Business Mailing Address
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Address Line | 7785 N STATE ST SUITE 2
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City | LOWVILLE
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State | NY
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Zip | 13367-1229
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Country | US
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Telephone | 315-376-5453
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Fax | 315-376-7013
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | ASHLEY WAITE
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Credential | RN, BSN, MPH
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Telephone | 315-376-5453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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