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General NPI Number Information
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NPI Number | 1417390451
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Entity Type | Individual
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Provider Name | MRS. JOSEPHINE CHIOFALO
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Gender | Female
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 23 SWEETWATER AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-3338
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Country | US
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Telephone | 917-535-7847
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Fax |
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Provider Business Mailing Address
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Address Line | 23 SWEETWATER AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10308-3338
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Country | US
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Telephone | 917-535-7847
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 2341440
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 2341440
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License Number State | NY
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