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General NPI Number Information
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NPI Number | 1821633165
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Entity Type | Organization
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Legal Business Name | OAK ORCHARD COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 317 WEST AVE
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City | ALBION
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State | NY
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Zip | 14411-1522
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Country | US
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Telephone | 585-589-5613
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Fax | 585-637-2375
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Provider Business Mailing Address
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Address Line | 300 WEST AVE
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City | BROCKPORT
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State | NY
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Zip | 14420-1118
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Country | US
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Telephone | 585-637-3905
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Fax | 585-637-4990
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Authorized Official
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Title or Position | CIO/DIRECTOR PATIENT ACCOUNTS
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Name | PAMELA A KELLER
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Credential |
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Telephone | 585-637-3905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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