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General NPI Number Information
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NPI Number | 1427921469
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Entity Type | Organization
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Legal Business Name | CAPITAL DISTRICT PSYCHIATRIC CENTER
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 75 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3409
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Country | US
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Telephone | 518-549-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 654 WESTERN AVE
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City | ALBANY
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State | NY
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Zip | 12203-1829
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Country | US
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Telephone | 347-451-7679
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Fax |
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Authorized Official
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Title or Position | RN
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Name | SUSSAN OLOWU
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Credential |
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Telephone | 347-451-7679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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