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General NPI Number Information
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NPI Number | 1609227149
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Entity Type | Organization
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Legal Business Name | CNY FAMILY NURSE PRACTITIONER - HOME AND OFFICE SERVICES PC
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 1 MILL ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2652
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Country | US
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Telephone | 315-798-1260
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Fax | 315-798-1263
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Provider Business Mailing Address
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Address Line | 1 MILL ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2652
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Country | US
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Telephone | 315-798-1260
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Fax | 315-798-1263
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULIE A TANOURY
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Credential | RN, BSN
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Telephone | 225-678-9869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335542-1
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License Number State | NY
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