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NPI 1497765119

NPI 1497765119 : DAVID WINSLOW PIERCE MD : HERKIMER, NY

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General NPI Number Information
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    NPI Number           |    1497765119
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID WINSLOW PIERCE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    205 N MAIN ST 
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    City                 |    HERKIMER
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    State                |    NY
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    Zip                  |    13350-1918
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    Country              |    US
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    Telephone            |    262-687-2380
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1400 NOYES ST 
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    City                 |    UTICA
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    State                |    NY
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    Zip                  |    13502-3854
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    Country              |    US
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    Telephone            |    315-738-3800
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    Fax                  |    315-738-4414
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084A0401X
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    Taxonomy Name        |    Addiction Medicine (Psychiatry & Neurology) Physician
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    License Number       |    200894
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    200894
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    License Number State |    NY
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