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General NPI Number Information
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NPI Number | 1902545148
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Entity Type | Organization
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Legal Business Name | SARATOGA REGIONAL MEDICAL , P.C
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2911 ROUTE 9
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City | BALLSTON SPA
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State | NY
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Zip | 12020-3975
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Country | US
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Telephone | 518-587-6201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412655
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City | BOSTON
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State | MA
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Zip | 02241-2655
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTOPHER JENKINS
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Credential |
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Telephone | 518-583-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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