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General NPI Number Information
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NPI Number | 1386296747
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Entity Type | Individual
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Provider Name | SARAH A SPENCER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 2125 RIVER RD STE 100
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City | NISKAYUNA
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State | NY
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Zip | 12309-1108
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Country | US
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Telephone | 518-836-3030
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Fax | 518-836-3020
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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 | 518-782-3799
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 344538
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 344538
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License Number State | NY
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