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General NPI Number Information
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NPI Number | 1821223694
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Entity Type | Individual
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Provider Name | BARBARA ANNE DENNISON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | EMPIRE STATE PLZ CORNING TOWER, RM 1042
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City | ALBANY
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State | NY
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Zip | 12223-1551
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Country | US
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Telephone | 518-474-0512
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Fax | 518-473-2853
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Provider Business Mailing Address
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Address Line | 900 ST DAVIDS LN
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City | NISKAYUNA
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State | NY
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Zip | 12309-4822
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Country | US
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Telephone | 518-473-4438
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Fax | 518-473-2853
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 175125
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License Number State | NY
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