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General NPI Number Information
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NPI Number | 1124327861
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY PAIN MANAGEMENT, PLLC
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 1940 COMMERCE ST SUITE 212
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4428
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Country | US
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Telephone | 914-245-3060
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Fax | 914-245-3065
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Provider Business Mailing Address
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Address Line | 1940 COMMERCE ST SUITE 212
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-4428
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Country | US
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Telephone | 914-245-3060
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Fax | 914-245-3065
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTIAN K PICCOLO
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Credential | MD
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Telephone | 914-245-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 244335
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License Number State | NY
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