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General NPI Number Information
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NPI Number | 1235463787
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Entity Type | Organization
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Legal Business Name | JOHN V IOIA MD PC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 367 BROADWAY
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City | KINGSTON
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State | NY
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Zip | 12401-5151
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Country | US
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Telephone | 845-339-6122
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Fax | 845-339-6716
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Provider Business Mailing Address
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Address Line | 367 BROADWAY
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City | KINGSTON
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State | NY
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Zip | 12401-5151
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Country | US
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Telephone | 845-339-6122
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Fax | 845-339-6716
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. CHERIE KAUFMANN
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Credential |
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Telephone | 845-339-6122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 138703-01
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License Number State | NY
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