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General NPI Number Information
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NPI Number | 1578557583
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Entity Type | Organization
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Legal Business Name | COMMUNITY GENERAL HOSPITAL OF GREATER SYRACUSE
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4900 BROAD RD
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City | SYRACUSE
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State | NY
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Zip | 13215-2265
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Country | US
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Telephone | 315-492-5554
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Fax | 315-492-5071
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Provider Business Mailing Address
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Address Line | 4900 BROAD RD
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City | SYRACUSE
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State | NY
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Zip | 13215-2265
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Country | US
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Telephone | 315-492-5554
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Fax | 315-492-5071
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Authorized Official
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Title or Position | CORPORATE VP OF FINANCES CFO
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Name | MS. PAMELA E JOHNSON
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Credential |
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Telephone | 315-492-5731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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