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General NPI Number Information
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NPI Number | 1063414472
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Entity Type | Individual
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Provider Name | JAMES DESEMONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 04/03/2010
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Provider Practice Location Address
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Address Line | 1101 NOTT ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-2425
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Country | US
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Telephone | 518-243-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 600 MCCLELLAN ST 2 WEST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1009
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 161189-1
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License Number State | NY
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