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General NPI Number Information
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NPI Number | 1396744892
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Entity Type | Individual
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Provider Name | STANLEY C. GIUDICI M.D., M.A.R.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 111 MALTESE DR
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2115
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Country | US
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Telephone | 845-342-4774
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Fax | 845-818-7555
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Provider Business Mailing Address
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Address Line | 75 CRYSTAL RUN ROAD SUITE 125
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City | MIDDLETOWN
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State | NY
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Zip | 10941
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Country | US
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Telephone | 845-692-4770
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Fax | 845-692-5199
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 234957
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License Number State | NY
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