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General NPI Number Information
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NPI Number | 1770823973
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Entity Type | Organization
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Legal Business Name | SCHENECTADY ENT PLLC
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 700 MCCLELLAN ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1019
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Country | US
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Telephone | 518-347-2466
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Fax | 518-347-2197
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Provider Business Mailing Address
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Address Line | 700 MCCLELLAN ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1019
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Country | US
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Telephone | 518-347-2466
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Fax | 518-347-2197
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. GILLES CHAPADOS
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Credential | MD
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Telephone | 518-347-2466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State | NY
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