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General NPI Number Information
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NPI Number | 1861487316
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Entity Type | Individual
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Provider Name | JAMES A TERZIAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 169 RIVERSIDE DR
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City | BINGHAMTON
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State | NY
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Zip | 13905-4246
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Country | US
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Telephone | 607-798-5219
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Fax | 607-798-6707
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Provider Business Mailing Address
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Address Line | 601 GATES RD SUITE 3
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City | VESTAL
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State | NY
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Zip | 13850-2288
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Country | US
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Telephone | 607-773-0368
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Fax | 607-772-1223
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | 131993
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License Number State | NY
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