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General NPI Number Information
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NPI Number | 1235184649
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Entity Type | Organization
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Legal Business Name | CLIFTON-FINE HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1014 OSWEGATCHIE TRAIL RD
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City | STAR LAKE
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State | NY
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Zip | 13690-3143
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Country | US
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Telephone | 315-848-3351
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Fax | 315-848-2314
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Provider Business Mailing Address
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Address Line | 1014 OSWEGATCHIE TRAIL RD
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City | STAR LAKE
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State | NY
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Zip | 13690-3143
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Country | US
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Telephone | 315-848-3351
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Fax | 315-848-2314
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Authorized Official
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Title or Position | CEO
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Name | MS. DIERDRA SORRELL
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Credential |
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Telephone | 315-848-4260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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