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General NPI Number Information
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NPI Number | 1952596611
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Entity Type | Organization
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Legal Business Name | SOUTHERN TIER PRIORITY HEALTHCARE
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 130 LATTABROOK RD
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City | HORSEHEADS
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State | NY
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Zip | 14845-8501
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Country | US
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Telephone | 607-795-5215
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Fax | 607-795-5219
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Provider Business Mailing Address
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Address Line | 130 LATTABROOK RD
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City | HORSEHEADS
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State | NY
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Zip | 14845-8501
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Country | US
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Telephone | 607-795-5215
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Fax | 607-795-5219
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LAURA A HUFFMAN
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Credential |
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Telephone | 607-795-5215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | NY
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