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General NPI Number Information
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NPI Number | 1861599169
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITAL PHYSICIANS
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 603 SENECA ST SUITE 2
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City | ONEIDA
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State | NY
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Zip | 13421-2653
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Country | US
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Telephone | 315-361-1041
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Fax | 315-361-1044
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Provider Business Mailing Address
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Address Line | 603 SENECA ST SUITE 2
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City | ONEIDA
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State | NY
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Zip | 13421-2653
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Country | US
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Telephone | 315-361-1041
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Fax | 315-361-1044
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Authorized Official
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Title or Position | ADULT NURSE PRACTITIONER
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Name | MS. MARY LOUISE SEYMOUR
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Credential | RN, NP
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Telephone | 315-361-1041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | F300426-1
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License Number State | NY
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