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General NPI Number Information
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NPI Number | 1114114808
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Entity Type | Organization
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Legal Business Name | STAMFORD FAMILY PRACTICE
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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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 | 607-431-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 32 MAIN STREET
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City | STAMFORD
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State | NY
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Zip | 12167-1145
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Country | US
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Telephone | 607-652-2000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. MARK WRIGHT
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Credential |
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Telephone | 607-431-5900
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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 |
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License Number State |
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