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General NPI Number Information
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NPI Number | 1881761484
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF THE SOUTHERN FINGER LAKES INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 620 W SENECA ST
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City | ITHACA
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State | NY
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Zip | 14850-3326
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Country | US
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Telephone | 607-273-1526
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Fax | 607-216-0039
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Provider Business Mailing Address
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Address Line | 620 W SENECA ST
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City | ITHACA
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State | NY
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Zip | 14850-3326
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Country | US
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Telephone | 607-273-1526
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Fax | 607-216-0039
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Authorized Official
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Title or Position | EXEC. ADMIN
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Name | PEARL ANDREWS
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Credential |
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Telephone | 607-273-1526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 5401205R
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 5401205R
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License Number State | NY
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