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General NPI Number Information
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NPI Number | 1487655056
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Entity Type | Organization
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Legal Business Name | GUTHRIE CORTLAND MEDICAL CENTER
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 134 HOMER AVE
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City | CORTLAND
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State | NY
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Zip | 13045
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Country | US
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Telephone | 607-756-3646
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Fax | 607-756-3843
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Provider Business Mailing Address
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Address Line | PO BOX 2060
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City | CORTLAND
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State | NY
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Zip | 13045-0946
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Country | US
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Telephone | 607-756-3646
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Fax | 607-756-3843
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE/CFO
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Name | DENISE WRINN
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Credential |
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Telephone | 607-756-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1101901
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License Number State | NY
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