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General NPI Number Information
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NPI Number | 1669451142
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Entity Type | Individual
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Provider Name | PATRICIA A FORD MD
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 460 SARATOGA RD
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City | SCOTIA
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State | NY
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Zip | 12302-5219
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Country | US
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Telephone | 518-243-3360
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Fax | 518-243-3375
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Provider Business Mailing Address
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Address Line | 1462 ERIE BLVD SUITE 2
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City | SCHENECTADY
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State | NY
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Zip | 12305-1026
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 166666
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 166666
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License Number State | NY
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