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General NPI Number Information
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NPI Number | 1205909322
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Entity Type | Organization
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Legal Business Name | JOSEPH P MCCORMICK MD PC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20 ELM ST SUITE 6
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City | HORNELL
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State | NY
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Zip | 14843-1933
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Country | US
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Telephone | 607-324-7240
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Fax | 607-324-2410
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Provider Business Mailing Address
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Address Line | 20 ELM ST SUITE 6
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City | HORNELL
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State | NY
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Zip | 14843-1933
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Country | US
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Telephone | 607-324-7240
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Fax | 607-324-2410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH PAUL MCCORMICK
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Credential | M.D.
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Telephone | 607-324-7240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 137432
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License Number State | NY
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