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General NPI Number Information
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NPI Number | 1467576983
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Entity Type | Organization
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Legal Business Name | NEW YORK STATE OFFICE OF THE MEDICAID INSPECTOR GENERAL
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 BROADWAY 4TH FLOOR
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City | ALBANY
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State | NY
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Zip | 12204-2719
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Country | US
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Telephone | 518-402-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 150 BROADWAY 4TH FLOOR
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City | ALBANY
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State | NY
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Zip | 12204-2719
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Country | US
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Telephone | 518-402-0044
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Fax |
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Authorized Official
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Title or Position | DEPUTY DIRECTOR,REVENUE INITIATIVES
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Name | JOSEPH JEFF FLORA
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Credential |
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Telephone | 518-402-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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