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General NPI Number Information
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NPI Number | 1386755650
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Entity Type | Individual
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Provider Name | MARIA Y. DUBOIS NP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 15 PINE GROVE ST WOODSTOCK PSYCHIATRIC ADJUNCTIVE SERVICES
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City | WOODSTOCK
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State | NY
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Zip | 12498-1507
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Country | US
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Telephone | 845-679-6678
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Fax | 845-679-0324
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Provider Business Mailing Address
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Address Line | 75 RED MAPLE RD
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City | SAUGERTIES
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State | NY
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Zip | 12477-9327
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Country | US
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Telephone | 914-388-6221
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Fax | 845-679-0324
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F332596
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332596
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F401094-1
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License Number State | NY
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