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NPI 1760981294

NPI 1760981294 : NATALIE A SNOW PMHNP : ALBANY, NY

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General NPI Number Information
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    NPI Number           |    1760981294
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE A SNOW PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/11/2018
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    Last Update Date     |    10/30/2020
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Provider Practice Location Address
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    Address Line         |    314 S MANNING BLVD 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12208-1794
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    Country              |    US
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    Telephone            |    518-437-5900
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    Fax                  |    518-437-5554
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Provider Business Mailing Address
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    Address Line         |    PO BOX 14890 
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12212-4890
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    Country              |    US
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    Telephone            |    518-525-5634
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    F402346-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    402346
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    License Number State |    NY
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