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General NPI Number Information
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NPI Number | 1790857308
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Entity Type | Organization
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Legal Business Name | LEWIS COUNTY GENERAL HOSPITAL
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 9559 MAIN STREET
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City | BEAVER FALLS
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State | NY
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Zip | 13305
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Country | US
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Telephone | 315-346-6824
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Fax | 315-346-6868
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Provider Business Mailing Address
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Address Line | PO BOX 2337
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City | SYRACUSE
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State | NY
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Zip | 13220-2337
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Country | US
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Telephone | 315-701-5610
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MICHELE PRINCE
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Credential |
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Telephone | 315-376-5226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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