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General NPI Number Information
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NPI Number | 1255092821
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Entity Type | Organization
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Legal Business Name | FRARY FUNERAL HOME & CREMATION SERVICES, INC.
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 515 CAROLINE ST
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City | OGDENSBURG
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State | NY
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Zip | 13669-2603
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Country | US
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Telephone | 315-393-1414
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Fax | 315-541-4239
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Provider Business Mailing Address
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Address Line | PO BOX 1036
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City | OGDENSBURG
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State | NY
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Zip | 13669-6036
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Country | US
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Telephone | 315-393-1414
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Fax | 315-541-4239
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Authorized Official
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Title or Position | OWNER
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Name | RYAN FRARY
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Credential |
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Telephone | 315-393-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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