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General NPI Number Information
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NPI Number | 1922899269
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Entity Type | Individual
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Provider Name | AMANDA NICOLE TAFT RRA
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 211 CHURCH ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1090
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Country | US
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Telephone | 518-587-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 188 CHURCH ST
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1010
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Country | US
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Telephone | 518-774-2693
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Fax | 518-809-0985
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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 | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | R000270-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 565268
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License Number State | NY
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