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General NPI Number Information
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NPI Number | 1093159667
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Entity Type | Organization
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Legal Business Name | ST. JAMES MERCY HOSPITAL/SODEXO
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 1 BETHESDA DR
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City | HORNELL
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State | NY
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Zip | 14843-1048
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Country | US
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Telephone | 607-324-6973
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BETHESDA DR
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City | HORNELL
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State | NY
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Zip | 14843-1048
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Country | US
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Telephone | 607-324-6973
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NUTRITION & ENVIRONMENT
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Name | PEG WEBB
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Credential |
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Telephone | 607-324-8174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 007281
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License Number State | NY
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