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General NPI Number Information
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NPI Number | 1770496762
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Entity Type | Organization
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Legal Business Name | SAFE PATH ADDICTION MEDICINE PLLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 21 EVERETT RD EXT STE A-4
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City | ALBANY
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State | NY
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Zip | 12205-3357
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Country | US
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Telephone | 518-867-7289
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 108
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City | VOORHEESVILLE
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State | NY
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Zip | 12186-0108
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Country | US
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Telephone | 518-867-7289
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. COLLEEN PARENT
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Credential | MD
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Telephone | 518-867-7289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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