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General NPI Number Information
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NPI Number | 1780629907
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Entity Type | Organization
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Legal Business Name | OSWEGO HOSPITAL
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 110 W 6TH ST
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City | OSWEGO
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State | NY
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Zip | 13126-2507
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Country | US
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Telephone | 315-349-5556
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Fax | 315-349-5781
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Provider Business Mailing Address
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Address Line | 110 W 6TH ST
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City | OSWEGO
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State | NY
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Zip | 13126-2507
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Country | US
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Telephone | 315-349-5556
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Fax | 315-349-5781
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Authorized Official
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Title or Position | DIR OF PHCY
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Name | BRIAN RICHARDSON
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Credential | RPH
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Telephone | 315-349-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 009658
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License Number State | NY
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