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General NPI Number Information
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NPI Number | 1811046113
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Entity Type | Organization
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Legal Business Name | HOME CARE FOR CORTLAND COUNTY, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 111 PORT WATSON ST
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City | CORTLAND
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State | NY
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Zip | 13045-3157
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Country | US
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Telephone | 607-753-9326
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Fax | 607-756-8458
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Provider Business Mailing Address
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Address Line | 111 PORT WATSON ST
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City | CORTLAND
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State | NY
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Zip | 13045-3157
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Country | US
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Telephone | 607-753-9326
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Fax | 607-756-8458
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CYNTHIA L. CRAIG
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Credential | RN, MS
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Telephone | 607-753-9326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0180L001
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License Number State | NY
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