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General NPI Number Information
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NPI Number | 1225662414
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Entity Type | Individual
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Provider Name | GENEVIEVE MAILLOUX NP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 526 ALTAMONT AVE
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City | SCHENECTADY
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State | NY
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Zip | 12303-1039
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Country | US
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Telephone | 518-346-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SOUTHWOODS BLVD STE 17
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City | ALBANY
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State | NY
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Zip | 12211-2564
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Country | US
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Telephone | 518-292-6000
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 700968
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F355867
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License Number State | NY
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