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General NPI Number Information
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NPI Number | 1902118078
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Entity Type | Individual
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Provider Name | SIOBHAN M. CARNEY-NESBITT M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 6 FERRIS DR
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City | QUEENSBURY
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State | NY
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Zip | 12804-9142
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Country | US
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Telephone | 518-852-4502
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Fax |
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Provider Business Mailing Address
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Address Line | 1 RAPP RD
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City | ALBANY
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State | NY
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Zip | 12203-4491
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Country | US
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Telephone | 518-867-3061
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Fax | 518-867-3066
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 018219-1
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License Number State | NY
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