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General NPI Number Information
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NPI Number | 1588905525
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Entity Type | Organization
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Legal Business Name | SOUTH COLONIE HIGH SCHOOL
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 102 LORALEE DR
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City | ALBANY
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State | NY
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Zip | 12205-2223
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Country | US
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Telephone | 518-459-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 1254 VINEWOOD AVE
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City | SCHENECTADY
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State | NY
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Zip | 12306
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Country | US
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Telephone | 518-986-0154
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MS. ROSEMARY PASZKIEWICZ
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Credential | RN
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Telephone | 518-355-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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