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General NPI Number Information
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NPI Number | 1386512127
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Entity Type | Organization
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Legal Business Name | ATKINSON MEDICAL
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 5692 NY-374
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City | CHATEAUGAY
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State | NY
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Zip | 12920
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Country | US
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Telephone | 518-521-0873
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Fax |
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Provider Business Mailing Address
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Address Line | 5692 NY-374
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City | CHATEAUGAY
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State | NY
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Zip | 12920
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Country | US
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Telephone | 518-521-0873
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | CANDY CAROL ATKINSON
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Credential | BSN
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Telephone | 518-521-0873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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