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General NPI Number Information
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NPI Number | 1790873933
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF AUBURN
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 77 NELSON ST SUTIE 310
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City | AUBURN
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State | NY
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Zip | 13021-1944
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Country | US
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Telephone | 315-253-4463
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Fax | 315-253-5462
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Provider Business Mailing Address
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Address Line | 77 NELSON ST STE 310
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City | AUBURN
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State | NY
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Zip | 13021-1945
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Country | US
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Telephone | 315-253-4463
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Fax | 315-916-6117
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Authorized Official
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Title or Position | BILLING & BUSINESS OFFICE MANAGER
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Name | CHRISTINE ANN MCLOUD
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Credential |
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Telephone | 315-702-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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