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General NPI Number Information
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NPI Number | 1104395839
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Entity Type | Organization
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Legal Business Name | MICHELE C PAUPORTE MD LLC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 120 E 86TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10028
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Country | US
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Telephone | 212-427-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 120 E 86TH ST FL 2
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City | NEW YORK
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State | NY
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Zip | 10028-1062
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Country | US
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Telephone | 212-427-1898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE PAUPORTE
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Credential | MD
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Telephone | 415-305-3478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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