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General NPI Number Information
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NPI Number | 1750395562
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Entity Type | Organization
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Legal Business Name | ADIRONDACK MEDICAL CENTER
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2233 STATE ROUTE 86
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City | SARANAC LAKE
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State | NY
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Zip | 12983-5644
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Country | US
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Telephone | 518-897-2378
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Fax | 518-891-7615
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Provider Business Mailing Address
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Address Line | 2233 STATE ROUTE 86 PO BOX 471
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City | SARANAC LAKE
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State | NY
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Zip | 12983-5644
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Country | US
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Telephone | 518-897-2378
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Fax | 518-891-7615
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Authorized Official
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Title or Position | PROF CREDENTIALING COORDINATOR
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Name | ADELE LYON
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Credential |
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Telephone | 518-897-4725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 020896
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License Number State | NY
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