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General NPI Number Information
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NPI Number | 1699755348
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Entity Type | Organization
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Legal Business Name | NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH, INC.
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 157 TOWNE AVE. BOX 320
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City | PLAINFIELD
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State | VT
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Zip | 05667-0320
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Country | US
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Telephone | 802-454-8336
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Fax | 802-454-8339
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Provider Business Mailing Address
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Address Line | 157 TOWNE AVE P. O. BOX 320
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City | PLAINFIELD
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State | VT
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Zip | 05667-9425
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Country | US
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Telephone | 802-454-8336
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Fax | 802-454-8339
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DEBORAH MACRITCHIE
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Credential |
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Telephone | 802-454-8336
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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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