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General NPI Number Information
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NPI Number | 1497622617
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Entity Type | Individual
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Provider Name | NATHAN HALE PHELPS NP
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Gender | Male
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 11 HAMPSTEAD PLACE SUITE 103
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5669
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Country | US
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Telephone | 518-583-7400
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Fax | 518-583-4184
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Provider Business Mailing Address
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Address Line | PO BOX 14890
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City | ALBANY
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State | NY
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Zip | 12212-4890
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 358710
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License Number State | NY
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