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General NPI Number Information
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NPI Number | 1619206554
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Entity Type | Organization
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Legal Business Name | NORTHERN DUTCHESS HOSPITAL
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 6511 SPRING BROOK AVE
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City | RHINEBECK
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State | NY
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Zip | 12572-3709
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Country | US
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Telephone | 845-871-3434
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Fax | 845-871-4307
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Provider Business Mailing Address
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Address Line | 6511 SPRINGBROOK AVENUE
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City | RHINEBECK
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State | NY
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Zip | 12572
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Country | US
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Telephone | 845-871-3434
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Fax | 845-871-4307
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. REBECCA R CONNOLLY
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Credential | M.S. CCC-SLP
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Telephone | 845-871-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 0165381
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License Number State | NY
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