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General NPI Number Information
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NPI Number | 1184886988
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Entity Type | Organization
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Legal Business Name | SYRACUSE COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 930 S SALINA ST
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City | SYRACUSE
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State | NY
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Zip | 13202-3530
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Country | US
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Telephone | 315-476-7921
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Fax |
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Provider Business Mailing Address
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Address Line | 819 S. SALINA STREET
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City | SYRACUSE
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State | NY
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Zip | 13202
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Country | US
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Telephone | 315-476-7921
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Fax | 315-475-1448
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE MANAGEMENT
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Name | KERRI WARNER
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Credential |
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Telephone | 315-476-7921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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