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General NPI Number Information
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NPI Number | 1306951371
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Entity Type | Individual
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Provider Name | BRIAN MCCANDLESS MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 3 EMMA LN STE 103
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City | CLIFTON PARK
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State | NY
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Zip | 12065-3763
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Country | US
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Telephone | 518-482-4838
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Fax |
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Provider Business Mailing Address
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Address Line | 130 CANVASS ST
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City | COHOES
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State | NY
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Zip | 12047-3049
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Country | US
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Telephone | 518-235-0827
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Fax | 518-237-3106
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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 | 174400000X
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Taxonomy Name | Specialist
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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 | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 152615-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 152615-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 152615-1
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License Number State | NY
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