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General NPI Number Information
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NPI Number | 1871882183
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Entity Type | Organization
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Legal Business Name | GREATER BINGHAMTON HEALTH CENTER
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 425 ROBINSON ST
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City | BINGHAMTON
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State | NY
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Zip | 13904-1735
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Country | US
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Telephone | 607-773-4223
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Fax | 607-773-4476
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Provider Business Mailing Address
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Address Line | 3 ANDREWS AVE
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City | BINGHAMTON
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State | NY
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Zip | 13904-1307
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Country | US
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Telephone | 607-722-2160
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | MS. GAY MARIE LESTER
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Credential | LPN
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Telephone | 607-773-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State | NY
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