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General NPI Number Information
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NPI Number | 1386038925
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Entity Type | Organization
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Legal Business Name | ALBANY MEDICAL COLLEGE
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Dates
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Enumeration Date | 03/21/2015
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 98 WOLF RD SUITE 16
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City | ALBANY
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State | NY
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Zip | 12205-1228
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Country | US
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Telephone | 518-264-9500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 417208
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City | BOSTON
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State | MA
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Zip | 02241-7208
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Country | US
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Telephone | 518-264-9500
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Fax |
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Authorized Official
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Title or Position | DEAN
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Name | VINCENT VERDILE
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Credential |
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Telephone | 518-262-6008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine 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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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