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General NPI Number Information
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NPI Number | 1285159798
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Entity Type | Organization
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Legal Business Name | BRIAN P. MCDERMOTT, D.O., P.C.
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 08/04/2017
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Provider Practice Location Address
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Address Line | 211 CHURCH ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1003
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Country | US
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Telephone | 518-796-1347
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HONEY HOLLOW RD
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City | QUEENSBURY
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State | NY
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Zip | 12804-9117
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Country | US
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Telephone | 518-796-1347
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Fax | 518-831-5510
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN MCDERMOTT
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Credential | DO
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Telephone | 518-796-1347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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