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General NPI Number Information
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NPI Number | 1831177609
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Entity Type | Individual
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Provider Name | NEIL GEOFFREY TRACHTMAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 61 ROWLAND ST SUITE 217
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City | BALLSTON SPA
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State | NY
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Zip | 12020
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Country | US
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Telephone | 518-288-3240
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Fax | 518-288-3240
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Provider Business Mailing Address
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Address Line | 71 ROWLAND ST SUITE 217
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City | BALLSTON SPA
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State | NY
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Zip | 12020
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Country | US
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Telephone | 518-288-3240
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Fax | 518-288-3240
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 143371
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 143371
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License Number State | NY
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