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General NPI Number Information
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NPI Number | 1710319215
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Entity Type | Individual
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Provider Name | ADRIENNE SMITH MSLAC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 11 WILLIAM ST
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City | CATSKILL
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State | NY
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Zip | 12414-1417
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Country | US
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Telephone | 917-557-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 340 FISHCREEK RD #3
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City | SAUGERTIES
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State | NY
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Zip | 12477-3440
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Country | US
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Telephone | 917-557-1199
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 004915-1
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License Number State | NY
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