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General NPI Number Information
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NPI Number | 1750480604
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH SERVICES HOSPITALS INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1302 E MAIN ST
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City | ENDICOTT
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State | NY
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Zip | 13760-5430
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Country | US
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Telephone | 607-754-2474
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Fax | 607-754-3384
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Provider Business Mailing Address
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Address Line | 1302 E MAIN ST
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City | ENDICOTT
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State | NY
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Zip | 13760-5430
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Country | US
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Telephone | 607-754-2474
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Fax | 607-754-3384
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Authorized Official
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Title or Position | MANAGER OF PHARMACY SERVICES
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Name | MR. WILLIAM G. WALDRON
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Credential | RPH, MHA
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Telephone | 607-763-1869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 029345
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License Number State | NY
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