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General NPI Number Information
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NPI Number | 1245222546
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Entity Type | Organization
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Legal Business Name | MIDDLETOWN COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 BENTON AVE
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City | MIDDLETOWN
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State | NY
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Zip | 10940-5149
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Country | US
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Telephone | 845-343-8838
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Fax |
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Provider Business Mailing Address
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Address Line | 8 WHITESTONE LN
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City | GOSHEN
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State | NY
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Zip | 10924-6934
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Country | US
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Telephone | 845-294-8521
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. YVETTE FIGUEROA
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Credential | MSN
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Telephone | 845-294-8521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | F300562-1
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License Number State | NY
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