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General NPI Number Information
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NPI Number | 1194947127
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Entity Type | Individual
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Provider Name | FRANK PAUL PROSCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 21 VANDERBILT AVE
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City | FLORAL PARK
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State | NY
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Zip | 11001-1516
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Country | US
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Telephone | 516-488-5174
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Fax | 888-980-6354
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Provider Business Mailing Address
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Address Line | 21 VANDERBILT AVE
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City | FLORAL PARK
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State | NY
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Zip | 11001-1516
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Country | US
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Telephone | 516-488-5174
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Fax | 888-980-6354
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 195640-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA05984000
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License Number State | NJ
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