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General NPI Number Information
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NPI Number | 1801902713
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Entity Type | Organization
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Legal Business Name | SAMARITAN MEDICAL CENTER
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 830 WASHINGTON ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4034
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Country | US
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Telephone | 315-786-4955
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Fax |
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Provider Business Mailing Address
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Address Line | 830 WASHINGTON ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4034
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Country | US
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Telephone | 315-786-4955
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | MS. CHRIS HOCHGRAF
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Credential |
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Telephone | 315-779-5278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 2201000H
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License Number State | NY
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