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General NPI Number Information
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NPI Number | 1790459683
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITES OF HERKIMER COUNTY
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 61 WEST ST
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City | ILION
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State | NY
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Zip | 13357-1723
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Country | US
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Telephone | 518-894-9917
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Fax | 315-894-6313
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Provider Business Mailing Address
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Address Line | 61 WEST ST
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City | ILION
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State | NY
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Zip | 13357-1723
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Country | US
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Telephone | 518-894-9917
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Fax | 315-894-6313
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MAUREEN PETRIE
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Credential |
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Telephone | 315-894-9917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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