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General NPI Number Information
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NPI Number | 1952309866
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Entity Type | Organization
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Legal Business Name | GREATER ADIRONDACK HOME AIDES
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 25 WILLOWBROOK RD STE 4
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City | QUEENSBURY
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State | NY
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Zip | 12804-3137
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Country | US
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Telephone | 518-926-7070
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Fax | 518-926-1521
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Provider Business Mailing Address
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Address Line | PO BOX 678
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City | GLENS FALLS
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State | NY
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Zip | 12801-0678
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Country | US
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Telephone | 518-926-7070
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Fax | 518-926-7074
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHARLES R NELSEN
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Credential |
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Telephone | 518-926-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0678L001
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License Number State | NY
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