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General NPI Number Information
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NPI Number | 1801886072
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Entity Type | Organization
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Legal Business Name | ST. CLARES HOSPITAL
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 600 MCCLELLAN ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1009
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Country | US
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Telephone | 518-347-5666
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Fax | 518-347-5409
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Provider Business Mailing Address
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Address Line | 600 MCCLELLAN ST
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City | SCHENECTADY
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State | NY
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Zip | 12304-1009
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Country | US
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Telephone | 518-347-5660
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Fax | 518-347-5409
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE, CFO
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Name | MR. EDWARD GASPAROVIC
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Credential |
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Telephone | 518-347-5666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4601002H
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License Number State | NY
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