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General NPI Number Information
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NPI Number | 1790925147
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Entity Type | Individual
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Provider Name | AILEEN FITZPATRICK F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 10 GREENWOOD DRIVE PO BOX 55
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City | EAST GREENBUSH
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State | NY
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Zip | 12061-9998
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Country | US
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Telephone | 518-912-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 21 JANINE DR
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City | EAST GREENBUSH
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State | NY
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Zip | 12061-1746
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335316
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License Number State | NY
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