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General NPI Number Information
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NPI Number | 1568371433
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Entity Type | Organization
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Legal Business Name | MARY IMNOGENE BASSETT HOSPITAL
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-547-7620
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-547-7620
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE
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Name | JAMES VIELKIND
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Credential |
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Telephone | 315-823-5281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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