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General NPI Number Information
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NPI Number | 1649337924
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Entity Type | Organization
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Legal Business Name | ADIRONDACK OBSTETRICS & GYNECOLOGY, PC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 101 RIDGE ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-3613
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Country | US
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Telephone | 518-812-2944
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Fax | 518-761-1164
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Provider Business Mailing Address
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Address Line | 101 RIDGE ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-3613
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Country | US
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Telephone | 518-812-2944
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Fax | 518-761-1164
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. STEPHEN M SERLIN
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Credential | M.D.
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Telephone | 518-812-2944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | NONE
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License Number State | NY
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