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General NPI Number Information
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NPI Number | 1376433482
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Entity Type | Organization
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Legal Business Name | IA HEALTH MEDICINE PLLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 4 ELLINWOOD DR
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City | NEW HARTFORD
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State | NY
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Zip | 13413-1110
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Country | US
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Telephone | 315-542-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 131 MAIN ST STE 201
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City | ONEIDA
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State | NY
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Zip | 13421-1641
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Country | US
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Telephone | 315-367-0264
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Fax | 315-693-0014
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DARLENE KIRLEY
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Credential |
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Telephone | 315-367-0264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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