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General NPI Number Information
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NPI Number | 1891725255
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Entity Type | Organization
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Legal Business Name | COUNTY OF CHENANGO
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 5 COURT ST STE 42
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City | NORWICH
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State | NY
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Zip | 13815-1695
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Country | US
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Telephone | 607-337-1600
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Fax | 607-334-4519
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Provider Business Mailing Address
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Address Line | 105 LEILANI'S WAY
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City | NORWICH
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State | NY
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Zip | 13815
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Country | US
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Telephone | 607-337-1680
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Fax | 607-336-1380
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Authorized Official
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Title or Position | DIRECTOR OF COMMUNITY SERVICES
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Name | MRS. IRINA GORDEYEVA
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Credential | LCSW-R
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Telephone | 607-337-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 070510713
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License Number State | NY
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