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NPI Code Detail

MEDICARE: THERESE SEPIOL

MEDICARE: THERESE SEPIOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse603538NY

General Provider Information

NPI Number : 1770712044
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESE SEPIOL
Provider Business Mailing Address
First Line : 522 PIERCE CREEK RD
Second Line :
City : BINGHAMTON
State : NY
Zip : 13903-6614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 HARRY L DR
Second Line : OAKDALE 700, SUITE 120
City : JOHNSON CITY
State : NY
Zip : 13790-1145
Country : US
Telephone Number : 607-770-1125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2009
Last Update Date : 07/08/2009

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Directions to “ THERESE SEPIOL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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