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General NPI Number Information
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NPI Number | 1194902544
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH SUPPORT, INC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 300 GATEWAY PARK DR
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-3755
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Country | US
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Telephone | 315-458-3200
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Fax | 315-452-9502
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Provider Business Mailing Address
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Address Line | 333 BUTTERNUT DR SUITE 100
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City | DE WITT
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State | NY
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Zip | 13214-2141
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Country | US
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Telephone | 315-458-3600
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Fax | 315-458-2760
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF OPERATIONS
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Name | MR. DANIEL T CARELLI
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Credential |
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Telephone | 315-458-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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