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General NPI Number Information
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NPI Number | 1467572099
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Entity Type | Individual
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Provider Name | LINDSAY M FERRARA M.S., R.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 1 COBBLE HILL DR
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City | GANSEVOORT
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State | NY
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Zip | 12831-2524
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Country | US
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Telephone | 518-796-3042
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Fax |
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Provider Business Mailing Address
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Address Line | 108 WALNUT DR
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City | CLIFTON PARK
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State | NY
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Zip | 12065-7300
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Country | US
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Telephone | 518-796-3042
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 005690-1
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License Number State | NY
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