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General NPI Number Information
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NPI Number | 1780446591
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY MEDICAL PLLC
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 48 COLONIAL DR
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City | HORSEHEADS
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State | NY
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Zip | 14845-8532
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Country | US
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Telephone | 570-561-2982
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Fax | 570-300-1829
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Provider Business Mailing Address
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Address Line | 2395 LANCASTER PIKE, FIRST FLOOR
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City | READING
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State | PA
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Zip | 19607-2375
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Country | US
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Telephone | 570-561-2982
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Fax | 570-300-1829
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JULIE MILLER
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Credential |
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Telephone | 585-233-2817
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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