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NPI 1609813971

NPI 1609813971 : EAST HILL FAMILY MEDICAL, INC. : AUBURN, NY

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General NPI Number Information
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    NPI Number           |    1609813971
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    Entity Type          |    Organization 
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    Legal Business Name  |    EAST HILL FAMILY MEDICAL, INC. 
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Dates
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    Enumeration Date     |    06/02/2006
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    Last Update Date     |    05/06/2025
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Provider Practice Location Address
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    Address Line         |    144 GENESEE ST STE 401 
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    City                 |    AUBURN
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    State                |    NY
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    Zip                  |    13021-3511
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    Country              |    US
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    Telephone            |    315-612-3451
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    Fax                  |    315-253-4727
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Provider Business Mailing Address
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    Address Line         |    144 GENESEE ST SUITE 500
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    City                 |    AUBURN
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    State                |    NY
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    Zip                  |    13021-3503
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    Country              |    US
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    Telephone            |    315-612-3451
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    Fax                  |    315-253-4727
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |    MRS. APRIL  MILES 
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    Credential           |    
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    Telephone            |    315-253-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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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        |    2080A0000X
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    Taxonomy Name        |    Pediatric Adolescent Medicine Physician
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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        |    261QA0005X
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    Taxonomy Name        |    Ambulatory Family Planning Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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