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General NPI Number Information
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NPI Number | 1740854512
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Entity Type | Organization
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Legal Business Name | SALLY DELORY NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 2 EXECUTIVE PARK DRIVE, SUITE 1
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City | ALBANY
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State | NY
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Zip | 12203-3700
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Country | US
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Telephone | 518-323-2828
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Fax | 518-313-5860
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Provider Business Mailing Address
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Address Line | 2 EXECUTIVE PARK DRIVE, SUITE 1
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City | ALBANY
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State | NY
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Zip | 12203-3700
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Country | US
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Telephone | 518-323-2828
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Fax | 518-313-5860
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | SALLY DELORY
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Credential |
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Telephone | 518-227-5339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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