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General NPI Number Information
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NPI Number | 1295498046
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Entity Type | Individual
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Provider Name | CASSANDRA MARIE FUGO-TUTALO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 92 OLD ROUTE 9W SUITE 100
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City | NEW WINDSOR
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State | NY
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Zip | 12553-5485
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Country | US
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Telephone | 845-565-7040
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Fax | 845-517-1924
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Provider Business Mailing Address
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Address Line | 92 OLD ROUTE 9W SUITE 100
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City | NEW WINDSOR
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State | NY
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Zip | 12553-5485
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Country | US
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Telephone | 845-565-7040
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Fax | 845-517-1924
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 348728
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License Number State | NY
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