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General NPI Number Information
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NPI Number | 1982117891
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Entity Type | Individual
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Provider Name | BARBARA LYNN VANDYCK REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 210 BALLSTON AVE
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City | BALLSTON SPA
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State | NY
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Zip | 12020-3606
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Country | US
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Telephone | 518-884-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 320 MIDDLE GROVE RD
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City | MIDDLE GROVE
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State | NY
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Zip | 12850-1105
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Country | US
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Telephone | 518-569-5672
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 388311
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License Number State | NY
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