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General NPI Number Information
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NPI Number | 1285070516
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Entity Type | Organization
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Legal Business Name | THE RESEARCH FOUNDATION FOR SUNY AT BINGHAMTON
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 4400 VESTAL PARKWAY EAST
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City | VESTAL
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State | NY
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Zip | 13850-0000
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Country | US
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Telephone | 607-777-6136
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Fax | 607-777-4354
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Provider Business Mailing Address
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Address Line | PO BOX 6000 SPONSORED FUNDS ADMINISTRATION
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City | BINGHAMTON
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State | NY
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Zip | 13902-6000
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Country | US
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Telephone | 607-777-6136
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Fax | 607-777-4354
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Authorized Official
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Title or Position | ASSOCIATE VICE PRESIDENT, RESEAR
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Name | MR. PAUL C PARKER
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Credential | CRA
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Telephone | 607-777-6755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NY
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