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General NPI Number Information
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NPI Number | 1003074055
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Entity Type | Individual
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Provider Name | NELLY DUCREPIN D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 47 WEIR ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-7607
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Country | US
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Telephone | 917-685-6441
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Fax | 516-481-6306
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Provider Business Mailing Address
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Address Line | 47 WEIR ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-7607
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Country | US
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Telephone | 917-685-6441
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Fax | 516-481-6306
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 006345
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 006345
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 006345
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License Number State | NY
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