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General NPI Number Information
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NPI Number | 1518252600
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Entity Type | Individual
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Provider Name | NYASHA CLAY
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 232 1/2 S FERRY ST
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City | SCHENECTADY
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State | NY
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Zip | 12305-2220
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Country | US
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Telephone | 518-379-8537
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CRAIG ST APT 306
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City | SCHENECTADY
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State | NY
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Zip | 12307-1413
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 295261-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 295261-01
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License Number State | NY
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