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General NPI Number Information
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NPI Number | 1679986756
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Entity Type | Individual
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Provider Name | RAYMOND WILLIAM CORDI FNP
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Gender | Male
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 357 KINGS RD
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City | SCHENECTADY
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State | NY
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Zip | 12304-3645
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Country | US
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Telephone | 518-374-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CRESCENT DR S
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City | ELMSFORD
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State | NY
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Zip | 10523-2802
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Country | US
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Telephone | 184-573-1971
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 338735
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License Number State | NY
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