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General NPI Number Information
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NPI Number | 1336100767
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Entity Type | Organization
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Legal Business Name | ROME MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 13407 STATE ROUTE 12
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City | BOONVILLE
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State | NY
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Zip | 13309-4954
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Country | US
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Telephone | 315-942-3500
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Fax | 315-942-2044
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Provider Business Mailing Address
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Address Line | 245 AVERY LN
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City | ROME
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State | NY
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Zip | 13441-4237
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Country | US
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Telephone | 315-337-1200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ANN MARIE CZYZ
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Credential |
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Telephone | 315-337-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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