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General NPI Number Information
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NPI Number | 1609862978
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Entity Type | Individual
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Provider Name | MARGARET F CAIAZZA ANP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 94 BAY ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-3047
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Country | US
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Telephone | 518-796-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 193 POTTER RD
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City | GANSEVOORT
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State | NY
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Zip | 12831-1064
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Country | US
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Telephone | 518-796-0108
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F3034681
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License Number State | NY
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