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General NPI Number Information
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NPI Number | 1154654499
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Entity Type | Individual
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Provider Name | CARYLE ANN FRANCIS P.A.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 24 RESEARCH WAY
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City | EAST SETAUKET
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State | NY
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Zip | 11733
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Country | US
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Telephone | 631-444-6270
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1559
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City | STONY BROOK
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State | NY
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Zip | 11790
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Country | US
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Telephone | 631-444-6270
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 013467-1
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License Number State | NY
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