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General NPI Number Information
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NPI Number | 1861779449
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Entity Type | Organization
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Legal Business Name | NICHOLAS H. NOYES MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 111 CLARA BARTON ST
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City | DANSVILLE
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State | NY
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Zip | 14437
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Country | US
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Telephone | 585-335-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CLARA BARTON ST
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City | DANSVILLE
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State | NY
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Zip | 14437-9503
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Country | US
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Telephone | 585-335-6001
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARK PRUNOSKE
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Credential |
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Telephone | 585-335-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #9
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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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