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General NPI Number Information
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NPI Number | 1487249827
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Entity Type | Organization
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Legal Business Name | VICTORIA VANSCOY-MCALLISTER/NPP/LLC
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 420 GLEN ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-2929
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Country | US
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Telephone | 518-502-1561
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Fax | 518-564-0029
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Provider Business Mailing Address
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Address Line | 2 WOODSIDE AVE APT SUITE
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City | SOUTH GLENS FALLS
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State | NY
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Zip | 12803-5632
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Country | US
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Telephone | 518-932-4220
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. VICTORIA VANSCOY-MCALLISTER
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Credential | NPP
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Telephone | 518-932-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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