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General NPI Number Information
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NPI Number | 1013035112
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF THE MID-HUDSON VALLEY INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 136 LAKE ST SUITE 11
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City | NEWBURGH
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State | NY
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Zip | 12550-5245
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Country | US
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Telephone | 845-471-1530
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Fax | 845-471-1519
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Provider Business Mailing Address
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Address Line | 178 CHURCH STREET
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601
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Country | US
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Telephone | 845-471-1530
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Fax | 845-471-1519
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | MS. MARY DOROTHY RADFORD
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Credential | CPA
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Telephone | 845-471-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 1302207R
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 1302207R
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License Number State | NY
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