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General NPI Number Information
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NPI Number | 1710052451
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Entity Type | Organization
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Legal Business Name | NORTH COUNTRY ADULT MEDICINE PLLC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 38 HOSPITAL DR
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City | MASSENA
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State | NY
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Zip | 13662-1018
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Country | US
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Telephone | 315-764-1121
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Fax | 315-764-1972
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Provider Business Mailing Address
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Address Line | 38 HOSPITAL DR
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City | MASSENA
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State | NY
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Zip | 13662-1018
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Country | US
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Telephone | 315-764-1121
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Fax | 315-764-1972
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | ELLEN M THOMSON
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Credential |
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Telephone | 315-764-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NY
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