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General NPI Number Information
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NPI Number | 1033828108
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Entity Type | Individual
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Provider Name | CHRISTINA TRUDEAU
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 2155 STATE ROUTE 22B
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City | MORRISONVILLE
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State | NY
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Zip | 12962-3417
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Country | US
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Telephone | 518-563-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 29 CAN AM DR
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City | PLATTSBURGH
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State | NY
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Zip | 12901-7900
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 295044
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License Number State | NY
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