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General NPI Number Information
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NPI Number | 1942480736
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Entity Type | Organization
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Legal Business Name | PARTNERSHIP IN HEALTH C
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 652 STATE HIGHWAY 11C
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City | WINTHROP
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State | NY
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Zip | 13697-3244
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Country | US
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Telephone | 315-389-5181
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Fax | 315-389-5183
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Provider Business Mailing Address
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Address Line | PO BOX 208
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City | WINTHROP
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State | NY
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Zip | 13697-0208
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Country | US
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Telephone | 315-389-5181
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Fax | 315-389-5183
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Authorized Official
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Title or Position | M.D.
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Name | DOROTHEA BADENHAUSEN
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Credential | M.D.
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Telephone | 315-389-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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