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General NPI Number Information
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NPI Number | 1336699313
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Entity Type | Organization
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Legal Business Name | PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C.
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 243 NORTH RD STE 101
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1173
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Country | US
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Telephone | 845-471-9410
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Fax |
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Provider Business Mailing Address
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Address Line | 243 NORTH RD STE 304
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-1173
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Country | US
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Telephone | 845-472-9410
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | PENNY NAPOLITANO
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Credential |
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Telephone | 845-471-9410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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