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General NPI Number Information
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NPI Number | 1851490411
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Entity Type | Organization
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Legal Business Name | WAYNE COUNTY
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1519 NYE RD. SUITE 200
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City | LYONS
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State | NY
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Zip | 14489
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Country | US
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Telephone | 315-946-5749
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Fax | 315-946-5762
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Provider Business Mailing Address
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Address Line | 1519 NYE RD. SUITE 200
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City | LYONS
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State | NY
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Zip | 14489
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Country | US
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Telephone | 315-946-5749
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Fax | 315-946-5762
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Authorized Official
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Title or Position | DIRECTOR OF PUBLIC HEALTH
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Name | MRS. LINDA L MICHIELSON
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Credential | MS, RN, ANP
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Telephone | 315-946-5749
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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 | 5823600
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License Number State | NY
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