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General NPI Number Information
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NPI Number | 1104505023
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Entity Type | Individual
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Provider Name | JENNIE PAGLIUCA
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 156 W 56TH ST STE 1804
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City | NEW YORK
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State | NY
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Zip | 10019-3878
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Country | US
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Telephone | 212-662-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 18 HORSESHOE PATH
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City | PAWLING
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State | NY
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Zip | 12564-2227
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Country | US
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Telephone | 914-960-5903
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NY
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