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General NPI Number Information
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NPI Number | 1780378463
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Entity Type | Organization
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Legal Business Name | CARRIE I. EDICK N.P., IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 430 FRANKLIN ST FL 2
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City | SCHENECTADY
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State | NY
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Zip | 12305-2018
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Country | US
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Telephone | 518-788-7983
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Fax | 866-256-3093
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Provider Business Mailing Address
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Address Line | 430 FRANKLIN ST FL 2
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City | SCHENECTADY
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State | NY
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Zip | 12305-2018
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CARRIE EDICK
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Credential | RN, PMHNP-BC, DNP
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Telephone | 518-788-7983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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