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NPI 1699855338

NPI 1699855338 : LESLEY ANNE DANSKIN MD : RENSSELAER, NY

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General NPI Number Information
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    NPI Number           |    1699855338
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    Entity Type          |    Individual 
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    Provider Name        |    LESLEY ANNE DANSKIN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/17/2006
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    Last Update Date     |    03/19/2015
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Provider Practice Location Address
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    Address Line         |    295 VALLEY VIEW BLVD 
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    City                 |    RENSSELAER
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    State                |    NY
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    Zip                  |    12144-9307
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    Country              |    US
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    Telephone            |    518-285-8100
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    Fax                  |    518-285-8145
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Provider Business Mailing Address
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    Address Line         |    295 VALLEY VIEW BLVD 
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    City                 |    RENSSELAER
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    State                |    NY
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    Zip                  |    12144-9307
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    Country              |    US
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    Telephone            |    518-285-8100
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    Fax                  |    518-285-8145
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    179641
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    License Number State |    NY
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