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General NPI Number Information
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NPI Number | 1639026529
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Entity Type | Organization
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Legal Business Name | NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC. DBA CONNEXTCARE
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 953 AUBURN ST
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City | HANNIBAL
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State | NY
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Zip | 13074-2180
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Country | US
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Telephone | 315-602-4030
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Fax | 315-282-2300
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Provider Business Mailing Address
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Address Line | 61 DELANO ST
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City | PULASKI
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State | NY
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Zip | 13142-1400
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Country | US
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Telephone | 315-298-6564
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Fax | 315-298-3968
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ALISHA CRISP
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Credential |
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Telephone | 315-298-6564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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