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General NPI Number Information
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NPI Number | 1215812201
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Entity Type | Individual
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Provider Name | CHRISTINE ANN GAGNE ARCHAMBEAULT PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 501 NEW KARNER RD STE 9
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City | ALBANY
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State | NY
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Zip | 12205-3882
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Country | US
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Telephone | 518-456-3614
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Fax | 518-456-3689
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Provider Business Mailing Address
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Address Line | 7 SENECA ST
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City | TROY
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State | NY
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Zip | 12180-2139
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Country | US
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Telephone | 518-488-9677
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F407432
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License Number State | NY
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