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General NPI Number Information
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NPI Number | 1083085146
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Entity Type | Organization
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Legal Business Name | FM-JD AREA MEALS ON WHEELS,INC.
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 7248 HIGHBRIDGE RD
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-9708
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Country | US
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Telephone | 315-637-5446
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 72
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City | MANLIUS
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State | NY
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Zip | 13104-0072
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TERRY DAVIS
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Credential |
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Telephone | 315-637-5446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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