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General NPI Number Information
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NPI Number | 1821376484
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Entity Type | Organization
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Legal Business Name | ORLEANS COMMUNITY HEALTH
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 200 OHIO ST
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City | MEDINA
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State | NY
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Zip | 14103-1063
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Country | US
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Telephone | 585-798-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 200 OHIO ST
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City | MEDINA
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State | NY
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Zip | 14103-1063
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. WENDY JACOBSON
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Credential |
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Telephone | 585-798-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 16861
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License Number State |
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