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General NPI Number Information
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NPI Number | 1154488476
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 10 42 MITCHELL AVE
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City | BINGHAMTON
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State | NY
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Zip | 13903-1602
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Country | US
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Telephone | 607-762-2237
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Fax | 607-762-3348
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Provider Business Mailing Address
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Address Line | 20 42 MITCHELL AVE
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City | BINGHAMTON
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State | NY
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Zip | 13903-1602
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Country | US
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Telephone | 607-762-2237
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Fax | 607-762-3348
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Authorized Official
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Title or Position | PIC
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Name | PATRICK SHAUGHNESSY
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Credential | RPH
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Telephone | 607-762-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 017212
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License Number State | NY
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