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General NPI Number Information
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NPI Number | 1700494143
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD FAMILY MEDICINE
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 50 FRONT ST
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City | BINGHAMTON
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State | NY
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Zip | 13905-4708
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Country | US
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Telephone | 919-770-9783
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Fax |
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Provider Business Mailing Address
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Address Line | 105 BARRINGTON RD N
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City | HORSEHEADS
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State | NY
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Zip | 14845-2243
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Country | US
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Telephone | 607-796-2103
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TIMOTHY ENTRY
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Credential |
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Telephone | 919-770-9783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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