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General NPI Number Information
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NPI Number | 1801330105
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Entity Type | Individual
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Provider Name | ADRIENNE AMANDA HASKINS RSA/RPA
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Gender | Female
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 1571 WASHINGTON ST STE 101
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City | WATERTOWN
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State | NY
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Zip | 13601-9304
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Country | US
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Telephone | 315-786-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1571 WASHINGTON ST STE 101
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City | WATERTOWN
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State | NY
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Zip | 13601-9304
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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 | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | 13OK1472
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License Number State | OK
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