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General NPI Number Information
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NPI Number | 1588649503
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 10869 STATE ROUTE 36 SOUTH
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City | DANSVILLE
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State | NY
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Zip | 14437-0601
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Country | US
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Telephone | 585-335-3416
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Fax | 585-335-8695
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Provider Business Mailing Address
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Address Line | 10869 STATE ROUTE 36
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City | DANSVILLE
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State | NY
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Zip | 14437-9444
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Country | US
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Telephone | 585-335-3100
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Fax | 585-335-8695
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Authorized Official
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Title or Position | CEO
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Name | KAREN A STONE
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Credential |
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Telephone | 585-519-1575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2527200R
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2527200R
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License Number State | NY
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