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General NPI Number Information
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NPI Number | 1982954178
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Entity Type | Organization
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Legal Business Name | LEWIS COUNTY GENERAL HOSPITAL
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 7785 N STATE ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1229
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Country | US
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Telephone | 315-368-3831
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Fax |
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Provider Business Mailing Address
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Address Line | 7785 N STATE ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1229
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Country | US
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Telephone | 315-368-3831
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ERIC BURCH
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Credential |
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Telephone | 315-376-5203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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