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General NPI Number Information
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NPI Number | 1942554597
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Entity Type | Individual
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Provider Name | AMANDA L ARCIDIACONO RPH
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Gender | Female
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 1044 STATE ST
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City | SCHENECTADY
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State | NY
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Zip | 12307-1508
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Country | US
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Telephone | 518-579-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 507 KINNS RD
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City | CLIFTON PARK
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State | NY
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Zip | 12065-2115
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I-056975
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License Number State | NY
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