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General NPI Number Information
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NPI Number | 1477827624
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Entity Type | Organization
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Legal Business Name | THE INSTITUTE FOR FAMILY HEALTH
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1 FAMILY PRACTICE DR
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City | KINGSTON
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State | NY
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Zip | 12401-6449
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Country | US
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Telephone | 845-338-6400
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Fax | 845-339-7288
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Provider Business Mailing Address
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Address Line | CL # 4655 PO BOX 95000
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City | PHILADELPHIA
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State | PA
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Zip | 19195-4655
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Country | US
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Telephone | 845-255-3435
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Fax | 845-256-1881
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | ERIC GAYLE
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Credential | MD
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Telephone | 212-633-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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