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General NPI Number Information
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NPI Number | 1578554630
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Entity Type | Organization
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Legal Business Name | SUNY HEALTH SCIENCE CENTER AT SYRACUSE
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 750 E ADAMS ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2306
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Country | US
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Telephone | 315-464-6530
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Fax | 315-464-8383
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Provider Business Mailing Address
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Address Line | 750 E ADAMS ST
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City | SYRACUSE
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State | NY
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Zip | 13210-2306
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Country | US
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Telephone | 315-464-6530
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Fax | 315-464-8383
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | STUART WRIGHT
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Credential |
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Telephone | 315-464-2139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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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 | 2472R0900X
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Taxonomy Name | Renal Dialysis Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 3301007H
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License Number State | NY
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