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General NPI Number Information
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NPI Number | 1942830476
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Entity Type | Organization
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Legal Business Name | M.R. HESS HOME WORKS, INC.
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 323 OWEGO ST
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City | MONTOUR FALLS
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State | NY
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Zip | 14865-9625
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Country | US
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Telephone | 607-252-6652
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 334
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City | WATKINS GLEN
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State | NY
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Zip | 14891-0334
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Country | US
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Telephone | 607-252-6652
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/PEER SPECIALIST
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Name | RIQUI HESS
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Credential |
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Telephone | 607-252-6652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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