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General NPI Number Information
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NPI Number | 1972255115
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Entity Type | Organization
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Legal Business Name | 2542 TELEHEALTH LLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 1467 COUNTY ROUTE 22
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City | NORTH BANGOR
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State | NY
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Zip | 12966-2817
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Country | US
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Telephone | 518-483-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 1467 COUNTY ROUTE 22
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City | NORTH BANGOR
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State | NY
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Zip | 12966-2817
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Country | US
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Telephone | 518-483-0233
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Fax |
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Authorized Official
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Title or Position | DNP FNP-BC
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Name | DAVID JOSEPH DEMPSEY
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Credential | DNP FNP-BC
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Telephone | 518-483-0233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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