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General NPI Number Information
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NPI Number | 1245659853
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Entity Type | Individual
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Provider Name | KRISTIN TWOMEY HOPKINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 240 MEETING HOUSE LN
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-5009
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Country | US
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Telephone | 631-726-8200
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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 | 11790-0989
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 298251
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License Number State | NY
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