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General NPI Number Information
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NPI Number | 1124364583
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Entity Type | Organization
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Legal Business Name | GENEVA GENERAL HOSPITAL
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 196 NORTH ST
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City | GENEVA
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State | NY
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Zip | 14456-1651
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Country | US
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Telephone | 315-787-4596
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Fax |
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Provider Business Mailing Address
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Address Line | 32C QUEENS WAY
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City | CAMILLUS
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State | NY
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Zip | 13031-1764
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Country | US
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Telephone | 917-280-6478
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Fax |
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Authorized Official
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Title or Position | CARDIAC REHAB DIETITIAN
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Name | SUELLEN J PINEDA
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Credential | RD
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Telephone | 315-787-4596
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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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