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General NPI Number Information
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NPI Number | 1568745396
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Entity Type | Individual
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Provider Name | JOANNE REYNOLDS RN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 30 WORDEN RD
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City | SCOTIA
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State | NY
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Zip | 12302-3409
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Country | US
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Telephone | 518-347-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SHERWOOD LN
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City | BURNT HILLS
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State | NY
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Zip | 12027-9520
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Country | US
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Telephone | 518-399-6778
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 308052
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License Number State | NY
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