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General NPI Number Information
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NPI Number | 1841499092
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Entity Type | Individual
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Provider Name | NIKKI ALLMENDINGER MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 47 NEW SCOTLAND AVE # MC88 ALBANY MEDICAL CENTER - THE CHILDREN'S HOSPITAL
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-8831
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Fax | 518-262-6453
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Provider Business Mailing Address
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Address Line | 47 NEW SCOTLAND AVE # MC88 ALBANY MEDICAL CENTER - THE CHILDREN'S HOSPITAL
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-8831
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Fax | 518-262-6453
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | C7-0004117
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License Number State | DE
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