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General NPI Number Information
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NPI Number | 1336510148
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Entity Type | Organization
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Legal Business Name | NORTH AREA MEALS ON WHEELS
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 413 CHURCH ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-2454
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Country | US
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Telephone | 315-452-1402
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Fax | 315-452-0146
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Provider Business Mailing Address
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Address Line | 413 CHURCH ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-2454
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Country | US
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Telephone | 315-452-1402
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Fax | 315-452-0146
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Authorized Official
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Title or Position | DIRECTOR
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Name | DONNA MARIE BARRETT
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Credential | BA
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Telephone | 315-452-1402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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