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General NPI Number Information
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NPI Number | 1912171729
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Entity Type | Organization
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Legal Business Name | HC LONGACRE-PRICE MD PLLC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 9578 STATE ROUTE 434
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City | VESTAL
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State | NY
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Zip | 13850-1070
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Country | US
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Telephone | 607-625-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 4 WELLINGTON CT
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City | ENDICOTT
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State | NY
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Zip | 13760-4221
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Country | US
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Telephone | 607-625-3200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HELENE CLAIRE LONGACRE-PRICE
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Credential | MD
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Telephone | 607-625-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 223913
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License Number State | NY
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