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General NPI Number Information
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NPI Number | 1669355715
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Entity Type | Organization
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Legal Business Name | COUNTY OF SULLIVAN
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 309 E BROADWAY STE C
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City | MONTICELLO
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State | NY
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Zip | 12701-8839
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Country | US
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Telephone | 845-807-0508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5012
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City | MONTICELLO
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State | NY
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Zip | 12701-5192
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COUNTY MANAGER
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Name | JOSHUA POTOSEK
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Credential |
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Telephone | 845-807-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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