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General NPI Number Information
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NPI Number | 1306139332
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Entity Type | Individual
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Provider Name | MICHAEL W PURCELL D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 1462 ERIE BLVD STE 3
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City | SCHENECTADY
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State | NY
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Zip | 12305-1026
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Country | US
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Telephone | 518-901-2800
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Fax | 518-240-4347
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Provider Business Mailing Address
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Address Line | 1462 ERIE BLVD STE 3
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City | SCHENECTADY
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State | NY
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Zip | 12305-1026
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Country | US
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Telephone | 518-901-2800
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Fax | 518-240-4347
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 293722
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS017574
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 293722
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License Number State | NY
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