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General NPI Number Information
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NPI Number | 1033200456
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Entity Type | Organization
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Legal Business Name | UTICA PEDIATRICS PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 86 GENESEE STREET
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-732-7909
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Fax | 315-793-9307
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Provider Business Mailing Address
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Address Line | 86 GENESEE STREET
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-732-7909
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Fax | 315-793-9307
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAWN MARIE BARO
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Credential | MD
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Telephone | 315-732-7909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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