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General NPI Number Information
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NPI Number | 1053625319
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Entity Type | Organization
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Legal Business Name | FERRE INSTITUTE
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 124 FRONT ST
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City | BINGHAMTON
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State | NY
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Zip | 13905-3102
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Country | US
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Telephone | 607-724-4308
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Fax |
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Provider Business Mailing Address
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Address Line | 124 FRONT ST
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City | BINGHAMTON
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State | NY
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Zip | 13905-3102
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Country | US
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Telephone | 607-724-4308
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LUBA DJURDJINOVIC
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Credential | M.S.
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Telephone | 607-724-4308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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