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General NPI Number Information
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NPI Number | 1043091648
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Entity Type | Organization
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Legal Business Name | ADIRONDACK MEDICAL CENTER
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 203 OLD MILITARY RD
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City | LAKE PLACID
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State | NY
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Zip | 12946-1738
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Country | US
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Telephone | 518-523-1327
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Fax | 518-523-9964
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Provider Business Mailing Address
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Address Line | PO BOX 1380 ATTN: PROVIDER ENROLLMENT
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City | SARANAC LAKE
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State | NY
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Zip | 12983
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Country | US
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Telephone | 518-897-4725
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Fax | 518-897-2423
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | ADELE PICKREIGN
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Credential |
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Telephone | 518-897-4725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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