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NPI 1912242249

NPI 1912242249 : VETERANS ADM HUDSON VALLEY HEALTH CARE SYSTEM : MONTROSE, NY

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General NPI Number Information
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    NPI Number           |    1912242249
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    Entity Type          |    Organization 
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    Legal Business Name  |    VETERANS ADM HUDSON VALLEY HEALTH CARE SYSTEM 
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Dates
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    Enumeration Date     |    11/27/2012
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    Last Update Date     |    11/27/2012
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Provider Practice Location Address
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    Address Line         |    2094 ALBANY POST RD 
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    City                 |    MONTROSE
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    State                |    NY
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    Zip                  |    10548-1454
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    Country              |    US
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    Telephone            |    914-737-4400
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    Fax                  |    914-788-4385
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Provider Business Mailing Address
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    Address Line         |    22 FALLKILL AVE 
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12601-2104
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    Country              |    US
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    Telephone            |    914-489-4155
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    Fax                  |    914-788-4385
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Authorized Official
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    Title or Position    |    HRMS CHIEF
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    Name                 |    MS. DARDANELLA  RUSSELL 
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    Credential           |    
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    Telephone            |    914-737-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    440739
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    License Number State |    NY
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