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General NPI Number Information
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NPI Number | 1730420969
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Entity Type | Individual
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Provider Name | LAURA MACIARIELLO FNP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 939 ROUTE 146 STE 700
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City | CLIFTON PARK
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State | NY
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Zip | 12065-3662
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Country | US
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Telephone | 518-383-0891
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Fax | 518-383-1662
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Provider Business Mailing Address
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Address Line | 6 WELLNESS WAY STE 201
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City | LATHAM
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State | NY
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Zip | 12110-2156
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Country | US
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Telephone | 518-782-3700
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Fax | 518-782-3799
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 337898
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 283908
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1034940
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 337898
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License Number State | NY
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