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General NPI Number Information
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NPI Number | 1336497387
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Entity Type | Organization
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Legal Business Name | GLENS FALLS HOSPITAL INC
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 1134 STATE ROUTE 29 GREENWICH REGIONAL MEDICAL CENTER SPECIALTY SUITE
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City | GREENWICH
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State | NY
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Zip | 12834-6107
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Country | US
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Telephone | 518-692-9635
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Fax | 518-692-7586
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Provider Business Mailing Address
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Address Line | 100 PARK STREET GLENS FALLS HOSPITAL - CREDENTIALING
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City | GLENS FALLS
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State | NY
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Zip | 12801-4413
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Country | US
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Telephone | 518-926-5924
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Fax | 518-926-6983
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Authorized Official
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Title or Position | INTERIM PRESIDENT/CEO
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Name | PAUL SCIMECA
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Credential |
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Telephone | 518-926-5902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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