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General NPI Number Information
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NPI Number | 1154390151
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Entity Type | Organization
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Legal Business Name | PHILIP T. DREW, MD
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 1345 NEW SCOTLAND RD
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City | SLINGERLANDS
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State | NY
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Zip | 12159-7216
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Country | US
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Telephone | 518-439-8555
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Fax | 518-439-8145
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Provider Business Mailing Address
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Address Line | 1345 NEW SCOTLAND RD
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City | SLINGERLANDS
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State | NY
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Zip | 12159-7216
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Country | US
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Telephone | 518-439-8555
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Fax | 518-439-8145
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. ANNE C COOKE
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Credential | CMPE
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Telephone | 518-439-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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