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General NPI Number Information
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NPI Number | 1215211552
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Entity Type | Organization
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Legal Business Name | PUTNAM GI, LLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 667 STONELEIGH AVE BUILDING A SUITE 201
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City | CARMEL
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State | NY
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Zip | 10512-2454
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Country | US
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Telephone | 845-278-5223
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Fax | 845-278-4579
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Provider Business Mailing Address
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Address Line | 667 STONELEIGH AVE STE 201
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City | CARMEL
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State | NY
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Zip | 10512-2455
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Country | US
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Telephone | 845-278-5223
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Fax | 845-278-4579
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KERRY P COONEY
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Credential |
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Telephone | 845-278-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 2059761
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License Number State | NY
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