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General NPI Number Information
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NPI Number | 1659727774
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Entity Type | Individual
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Provider Name | ANNA MARY WOODS CARBONE-HARMS
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Gender | Female
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Dates
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Enumeration Date | 05/07/2016
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Last Update Date | 05/07/2016
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Provider Practice Location Address
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Address Line | 2841 THOUSAND ACRES RD
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City | DELANSON
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State | NY
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Zip | 12053-1917
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Country | US
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Telephone | 518-441-1728
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Fax |
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Provider Business Mailing Address
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Address Line | 506 RESERVE CT
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City | GLENVILLE
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State | NY
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Zip | 12302-3537
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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