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General NPI Number Information
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NPI Number | 1396929972
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Entity Type | Organization
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Legal Business Name | NANCY A. GIRARD DO PC
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 2 MARKET ST
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City | ALEXANDRIA BAY
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State | NY
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Zip | 13607-1317
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Country | US
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Telephone | 315-482-3816
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Fax | 315-482-6265
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Provider Business Mailing Address
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Address Line | 2 MARKET ST
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City | ALEXANDRIA BAY
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State | NY
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Zip | 13607-1317
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Country | US
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Telephone | 315-482-3816
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Fax | 315-482-6265
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY A GIRARD
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Credential | DO
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Telephone | 315-482-3816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 188587
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License Number State | NY
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