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General NPI Number Information
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NPI Number | 1942478011
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Entity Type | Organization
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Legal Business Name | CLIFTON SPRINGS SANITARIUM COMPANY
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 2 COULTER RD
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1122
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Country | US
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Telephone | 315-462-0494
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Fax | 315-462-2504
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Provider Business Mailing Address
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Address Line | 4567 CROSSROADS PARK DR
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City | LIVERPOOL
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State | NY
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Zip | 13088-3589
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Country | US
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Telephone | 315-295-2100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR PFS
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Name | MRS. CATHERINE R DEC
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Credential |
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Telephone | 315-462-0494
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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 | 3421000H
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License Number State | NY
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