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General NPI Number Information
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NPI Number | 1689663155
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Entity Type | Organization
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Legal Business Name | ESSEX COUNTY PUBLIC HEALTH NURSING SERVICE
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 132 WATER ST.
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-0217
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Country | US
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Telephone | 518-873-3500
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Fax | 518-873-3539
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Provider Business Mailing Address
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Address Line | 132 WATER STREET
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-0217
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Country | US
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Telephone | 518-873-3500
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Fax | 518-873-3539
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NAYEF DURHAM
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Credential |
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Telephone | 518-873-3503
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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 | 1521600
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License Number State | NY
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