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General NPI Number Information
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NPI Number | 1093862179
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Entity Type | Individual
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Provider Name | CAMILLE MARIE TICHENOR R.N.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 433 GEYSER RD
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City | BALLSTON SPA
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State | NY
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Zip | 12020
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Country | US
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Telephone | 518-885-6884
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Fax | 518-885-0077
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Provider Business Mailing Address
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Address Line | 25 STEWART DAM RD
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City | CORINTH
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State | NY
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Zip | 12822-2721
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Country | US
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Telephone | 518-885-6884
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Fax | 518-885-0077
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 523847-1
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License Number State | NY
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