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General NPI Number Information
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NPI Number | 1508862228
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Entity Type | Individual
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Provider Name | KELLY A COMERFORD DC
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Gender | Female
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 3403 CARMAN RD
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City | SCHENECTADY
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State | NY
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Zip | 12303
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Country | US
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Telephone | 518-356-9835
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Fax | 518-357-0470
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Provider Business Mailing Address
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Address Line | 3403 CARMAN RD
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City | SCHENECTADY
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State | NY
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Zip | 12303-5319
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Country | US
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Telephone | 518-356-9835
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Fax | 518-357-0470
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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 | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 0058732
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License Number State | NY
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