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General NPI Number Information
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NPI Number | 1902800352
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Entity Type | Organization
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Legal Business Name | UNITED MEMORIAL MEDICAL CENTER
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 127 NORTH ST
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City | BATAVIA
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State | NY
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Zip | 14020-1631
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Country | US
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Telephone | 585-344-5428
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Fax | 585-344-7470
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Provider Business Mailing Address
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Address Line | 127 NORTH ST
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City | BATAVIA
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State | NY
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Zip | 14020-1631
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Country | US
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Telephone | 585-344-5428
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Fax | 585-344-7470
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Authorized Official
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Title or Position | CFO
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Name | HOWARD DAMIAN GLASTONBURY
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Credential |
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Telephone | 585-922-1595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | NY
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