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General NPI Number Information
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NPI Number | 1013278225
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Entity Type | Individual
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Provider Name | HUDSON HAY ELMORE II M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 11 HANOVER SQ FL 18
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City | NEW YORK
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State | NY
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Zip | 10005-2847
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Country | US
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Telephone | 917-456-8755
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Fax |
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Provider Business Mailing Address
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Address Line | 533 PACIFIC ST APT 2D
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City | BROOKLYN
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State | NY
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Zip | 11217-5292
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Country | US
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Telephone | 803-317-8830
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A163220
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License Number State | CA
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