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General NPI Number Information
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NPI Number | 1154795714
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Entity Type | Organization
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Legal Business Name | SETON HEALTH SYSTEM
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 147 HOOSICK ST
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City | TROY
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State | NY
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Zip | 12180-2393
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Country | US
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Telephone | 518-268-6493
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PALISADES DR SUITE 200
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City | ALBANY
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State | NY
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Zip | 12205-1449
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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 | ASSISTANT CONTROLLER
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Name | KELLY WESCOTT
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Credential |
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Telephone | 518-435-2649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC2100X
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Taxonomy Name | Continence Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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