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General NPI Number Information
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NPI Number | 1104029180
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Entity Type | Organization
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Legal Business Name | A.O FOX MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 NORTON AVE
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City | ONEONTA
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State | NY
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Zip | 13820-2629
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Country | US
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Telephone | 607-431-5243
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Fax |
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Provider Business Mailing Address
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Address Line | 2 ELLIOTTS ALY
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City | VALLEY COTTAGE
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State | NY
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Zip | 10989-2306
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Country | US
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Telephone | 646-239-5675
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. CARL ROULE
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Credential | MD
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Telephone | 607-431-5243
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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 | 3801000H
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License Number State | NY
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