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General NPI Number Information
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NPI Number | 1073794665
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Entity Type | Individual
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Provider Name | ZOILA CARTAYA M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/25/2007
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Last Update Date | 11/25/2007
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Provider Practice Location Address
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Address Line | 345 STONY FORD RD
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City | MIDDLETOWN
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State | NY
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Zip | 10941-3952
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Country | US
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Telephone | 845-692-8303
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Fax | 845-692-8303
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Provider Business Mailing Address
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Address Line | PO BOX 713
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City | GOSHEN
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State | NY
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Zip | 10924-0713
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Country | US
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Telephone | 845-692-8303
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Fax | 845-692-8303
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 105792-1
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License Number State | NY
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