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General NPI Number Information
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NPI Number | 1770992729
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Entity Type | Organization
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Legal Business Name | BROOME COUNTY OFFICE FOR AGING
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 60 HAWLEY ST
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City | BINGHAMTON
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State | NY
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Zip | 13901-3708
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Country | US
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Telephone | 607-778-2411
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Fax | 607-778-2316
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Provider Business Mailing Address
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Address Line | 60 HAWLEY ST P.O. BOX 1766
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City | BINGHAMTON
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State | NY
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Zip | 13901-3708
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Country | US
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Telephone | 607-778-2411
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Fax | 607-778-2316
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. JAMIE M KELLY
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Credential | MPA
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Telephone | 607-778-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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