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General NPI Number Information
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NPI Number | 1063639813
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Entity Type | Individual
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Provider Name | DAWN LAPORTE MD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7559 263RD ST ZUCKER HILLSIDE HOSPITAL
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City | GLEN OAKS
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State | NY
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Zip | 11004-1150
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Country | US
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Telephone | 718-470-8048
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Fax |
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Provider Business Mailing Address
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Address Line | 10933 71ST RD SUITE 2E
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City | FOREST HILLS
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State | NY
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Zip | 11375-4850
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Country | US
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Telephone | 470-470-8048
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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 | 235293-1
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License Number State | NY
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