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General NPI Number Information
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NPI Number | 1073785192
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Entity Type | Organization
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Legal Business Name | NUNZIATA RASCHELLA MD PLLC
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 97 FULTON AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2807
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Country | US
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Telephone | 845-486-7520
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Fax | 845-486-8090
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Provider Business Mailing Address
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Address Line | 97 FULTON AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-2807
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Country | US
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Telephone | 845-486-7520
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Fax | 845-486-8090
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NUNZIATA RASCHELLA
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Credential | MD
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Telephone | 845-486-7520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 211945
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License Number State | NY
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