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General NPI Number Information
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NPI Number | 1154486777
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Entity Type | Individual
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Provider Name | DIANE REGINA GARBARINO PA
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 100 E 77TH ST DEPT CARDIOVASCULAR MEDICINE
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 212-434-4654
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Fax |
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Provider Business Mailing Address
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Address Line | 185 E 85TH ST APT 24N
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City | NEW YORK
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State | NY
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Zip | 10028-2140
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Country | US
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Telephone | 917-975-1013
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 007757-1
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License Number State | NY
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