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General NPI Number Information
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NPI Number | 1649496522
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Entity Type | Organization
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Legal Business Name | WARREN COUNTY
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1340 STATE ROUTE 9
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City | LAKE GEORGE
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State | NY
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Zip | 12845-3434
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Country | US
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Telephone | 518-761-6415
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Fax | 518-761-6562
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Provider Business Mailing Address
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Address Line | 1340 STATE ROUTE 9
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City | LAKE GEORGE
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State | NY
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Zip | 12845-3434
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Country | US
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Telephone | 518-761-6415
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Fax | 518-761-6562
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Authorized Official
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Title or Position | DIRECTOR
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Name | GINELLE JONES
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Credential | FNP
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Telephone | 518-761-6415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 5620600
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License Number State | NY
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