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General NPI Number Information
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NPI Number | 1558901173
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Entity Type | Organization
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Legal Business Name | BINGHAMTON UNIVERSITY
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Dates
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Enumeration Date | 01/11/2020
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 4400 VESTAL PKWY E
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City | BINGHAMTON
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State | NY
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Zip | 13902-4400
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Country | US
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Telephone | 518-570-4086
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 VESTAL PKWY E
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City | BINGHAMTON
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State | NY
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Zip | 13902-4400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP STUDENT
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Name | MS. KELLY LEE DROLLETTE
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Credential | BSN
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Telephone | 518-570-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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