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NPI 1407804941

NPI 1407804941 : ERIN DUPREE M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1407804941
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN DUPREE M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2006
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    Last Update Date     |    12/27/2012
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Provider Practice Location Address
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    Address Line         |    1176 5TH AVE E LEVEL
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10029-6503
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    Country              |    US
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    Telephone            |    212-659-8557
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5 E 98TH ST 2ND FLOOR, BOX 1174
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10029-6501
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    Country              |    US
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    Telephone            |    212-241-6874
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    Fax                  |    212-241-3833
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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        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    206059-1
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    License Number State |    NY
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