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General NPI Number Information
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NPI Number | 1003872995
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Entity Type | Individual
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Provider Name | ROSITA NG AQUINO MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 105 CAMPBELL RD
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City | NORWICH
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State | NY
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Zip | 13815-3330
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Country | US
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Telephone | 607-336-1550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29 105 CAMPBELL ROAD
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City | NORWICH
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State | NY
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Zip | 13815
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Country | US
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Telephone | 607-336-1550
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 143390
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License Number State | NY
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