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General NPI Number Information
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NPI Number | 1144569997
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Entity Type | Organization
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Legal Business Name | NUVANCE HEALTH MEDICAL PRACTICE, PC
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 45 READE PL JOSEPH TOWER, 1ST FLOOR
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3947
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Country | US
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Telephone | 845-483-6654
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Fax | 845-483-6993
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Provider Business Mailing Address
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Address Line | 1351 ROUTE 55 SUITE 200
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5108
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Country | US
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Telephone | 845-475-9661
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Fax | 845-475-9938
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Authorized Official
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Title or Position | VP FINANCE
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Name | KAREN DARCY
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Credential |
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Telephone | 203-739-4593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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