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General NPI Number Information
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NPI Number | 1417238403
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Entity Type | Individual
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Provider Name | JOSEPH ALI N.P.P.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 11 MARSHALL RD STE 2L
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City | WAPPINGERS FALLS
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State | NY
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Zip | 12590-4134
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Country | US
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Telephone | 845-679-5262
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Fax |
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Provider Business Mailing Address
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Address Line | 1 VAN DALE CT
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City | WOODSTOCK
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State | NY
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Zip | 12498-2615
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Country | US
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Telephone |
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401554
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License Number State | NY
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