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General NPI Number Information
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NPI Number | 1346801206
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Entity Type | Organization
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Legal Business Name | BROOME FAMILY NURSE PRACTITIONERS PC
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 2220 VESTAL PKWY E FL 2
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City | VESTAL
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State | NY
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Zip | 13850-1947
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Country | US
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Telephone | 607-306-7546
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Fax | 607-821-7848
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Provider Business Mailing Address
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Address Line | 2220 VESTAL PKWY E FL 2
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City | VESTAL
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State | NY
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Zip | 13850-1947
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Country | US
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Telephone | 607-306-7546
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Fax | 607-821-7848
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Authorized Official
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Title or Position | ASSISTANT OFFICE MANAGER
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Name | NIKKI LEA HUGHES
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Credential |
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Telephone | 607-306-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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