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General NPI Number Information
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NPI Number | 1164854451
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Entity Type | Organization
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Legal Business Name | UNITED MEMORIAL MEDICAL CENTER
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Dates
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Enumeration Date | 08/08/2013
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 127 NORTH ST
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City | BATAVIA
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State | NY
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Zip | 14020-1631
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Country | US
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Telephone | 585-344-5263
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Fax |
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Provider Business Mailing Address
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Address Line | 127 NORTH ST
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City | BATAVIA
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State | NY
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Zip | 14020-1631
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Country | US
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Telephone | 585-344-5263
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. MARK C. SCHOELL
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Credential |
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Telephone | 585-344-5495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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