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General NPI Number Information
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NPI Number | 1073796363
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Entity Type | Organization
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Legal Business Name | ADIRONDACK NEUROPSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1 WEST AVE STE 205
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6064
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Country | US
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Telephone | 518-581-7260
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Fax | 518-581-7260
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Provider Business Mailing Address
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Address Line | 1 WEST AVE STE 205
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6064
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Country | US
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Telephone | 518-581-7260
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Fax | 518-581-7260
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Authorized Official
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Title or Position | PARTNER
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Name | CATHERINE ANDERSON-HANLEY
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Credential | PHD
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Telephone | 518-581-7260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 013031
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License Number State | NY
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