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General NPI Number Information
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NPI Number | 1356958896
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Entity Type | Individual
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Provider Name | KRISTEN LEE HEBERT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1667 ELIZABETH ST
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City | SCHENECTADY
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State | NY
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Zip | 12303-3805
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Country | US
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Telephone | 315-868-8633
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Fax |
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Provider Business Mailing Address
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Address Line | 711 TROY SCHENECTADY RD STE 203
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City | LATHAM
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State | NY
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Zip | 12110-2461
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Country | US
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Telephone | 518-782-3700
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA067430
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 025446
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License Number State | NY
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