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General NPI Number Information
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NPI Number | 1558882951
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Entity Type | Organization
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Legal Business Name | COUNTY OF CHAUTAUQUA A MUNICIPAL CORP
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 7 N ERIE ST
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City | MAYVILLE
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State | NY
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Zip | 14757-1095
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Country | US
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Telephone | 716-753-4783
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Fax | 716-753-4422
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Provider Business Mailing Address
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Address Line | 7 N ERIE ST
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City | MAYVILLE
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State | NY
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Zip | 14757-1095
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Country | US
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Telephone | 716-753-4783
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Fax | 716-753-4422
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Authorized Official
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Title or Position | COUNTY EXECUTIVE
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Name | MR. VINCENT W. HORRIGAN
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Credential |
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Telephone | 716-753-4211
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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 | 1966L001
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License Number State | NY
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