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General NPI Number Information
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NPI Number | 1306207642
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Entity Type | Organization
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Legal Business Name | JOSEPH DEPAOLA REGISTERED NURSING PC
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Dates
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Enumeration Date | 03/15/2016
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 201 DEAN ST SUITE 1
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City | BROOKLYN
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State | NY
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Zip | 11217-2202
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Country | US
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Telephone | 617-852-1802
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Fax |
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Provider Business Mailing Address
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Address Line | 201 DEAN ST #1
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City | BROOKLYN
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State | NY
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Zip | 11217
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Country | US
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Telephone | 617-852-1802
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH DEPAOLA
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Credential | NP
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Telephone | 617-852-1802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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