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General NPI Number Information
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NPI Number | 1801230677
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Entity Type | Individual
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Provider Name | REBECCA GOOLD MCCARTY MSPED
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Gender | Female
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 636 MAPLE LN
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City | NISKAYUNA
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State | NY
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Zip | 12309-3029
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Country | US
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Telephone | 518-421-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 840 3RD ST
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City | RENSSELAER
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State | NY
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Zip | 12144-2113
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Country | US
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Telephone | 518-365-0642
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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