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General NPI Number Information
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NPI Number | 1881643823
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Entity Type | Organization
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Legal Business Name | CNY FAMILY CARE, LLP
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 4939 BRITTONFIELD PKWY
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9208
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Country | US
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Telephone | 315-463-1600
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Fax | 315-634-6793
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Provider Business Mailing Address
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Address Line | 4939 BRITTONFIELD PKWY
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-9208
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Country | US
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Telephone | 315-463-1600
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Fax | 315-634-6789
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Authorized Official
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Title or Position | MANAGER OF CODING AND COMPLIANCE
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Name | ASHLEY S HICKS
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Credential | RHIT, CPC
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Telephone | 315-748-7870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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