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General NPI Number Information
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NPI Number | 1831226273
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Entity Type | Organization
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Legal Business Name | ADIRONDACK MEDICAL CENTER
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 2233 STATE ROUTE 86 COLBY CENTER
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City | SARANAC LAKE
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State | NY
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Zip | 12983-5644
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Country | US
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Telephone | 518-897-2351
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Fax | 518-897-2868
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Provider Business Mailing Address
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Address Line | 2233 STATE ROUTE 86 COLBY CENTER
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City | SARANAC LAKE
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State | NY
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Zip | 12983-5644
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Country | US
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Telephone | 518-897-2351
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Fax | 518-897-2868
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Authorized Official
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Title or Position | PFS SUPERVISOR
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Name | SUSAN S STRATFORD
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Credential | CPC
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Telephone | 518-897-2636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 33S079
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License Number State | NY
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