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General NPI Number Information
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NPI Number | 1215044516
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Entity Type | Organization
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Legal Business Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 418 N MAIN ST
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City | PENN YAN
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State | NY
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Zip | 14527-1085
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Country | US
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Telephone | 315-787-4150
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Fax | 315-787-4794
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Provider Business Mailing Address
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Address Line | 418 N MAIN ST
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City | PENN YAN
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State | NY
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Zip | 14527-1085
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Country | US
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Telephone | 315-787-4150
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Fax | 315-787-4794
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Authorized Official
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Title or Position | TREASURER/CFO
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Name | MS. PAMELA E JOHNSON
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Credential |
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Telephone | 315-787-4031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | EIN
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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